SUNSHINE MATHIS (NPI# 1932749967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932749967 |
| Entity Type | Individual |
| Full Name | SUNSHINE MATHIS |
| Practice Address |
474 W 200 N St George UT 84770-4505 |
| Mailing Address |
3424 S River Rd Unit S9 St George UT 84790-6630 |
| Practice Telephone | 4356345600 |
| Mailing Telephone | 4359229305 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
474 W 200 N |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548212640 | Southwest Center | Clinic/Center | 474 W 200 N, #300, St George, UT 84770-4505 | 2006-05-17 |
| 1538784160 | Mikenda Pearl Busic | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-06-09 |
| 1912521022 | Dana Moody | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2020-06-04 |
| 1285258533 | Lana Kathleen Wimmer | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2020-06-02 |
| 1558985283 | Abel Ortiz | Social Worker | 474 W 200 N, St George, UT 84770-4505 | 2020-05-28 |
| 1104447960 | Holly Edwards | Registered Nurse | 474 W 200 N, St George, UT 84770-4505 | 2020-05-04 |
| 1275154486 | Kaitlan B Terry | Social Worker | 474 W 200 N, St George, UT 84770-4505 | 2020-04-28 |
| 1265069926 | Lupita Ann Holiday | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-03-24 |
| 1942835046 | Elizabrth Hagen | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-03-09 |
| 1215568530 | Willie C Townsend IIi | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423532 | Chante Colvin | Peer Specialist | 3638 Sugar Leo Rd, St George, UT 84790-7452 | 2020-10-08 |
| 1255975074 | Shasta Mello | Peer Specialist | 474 W 200 N, St George, UT 84770-4505 | 2019-11-05 |
| 1649826579 | Tracy Wardrop | Peer Specialist | 619 S 700 E, St George, UT 84770-3990 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
| 1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
| 1508497892 | Jamie Len Griffin | Peer Specialist | 256 W 100 S, Logan, UT 84321-5231 | 2020-01-27 |
| 1295370013 | Amber Chandler | Peer Specialist | 15257 S Scenic Crest Cir, Bluffdale, UT 84065-5076 | 2019-11-15 |
| 1780232272 | Billie Jo Burnett | Peer Specialist | 1429 N 1200 W, Orem, UT 84057-2449 | 2019-08-28 |
| 1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
| 1134780042 | Michael James Olsen | Peer Specialist | 344 E 100 S Ste 301300, Salt Lake City, UT 84111-1700 | 2019-06-23 |
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1699278366 | John Carlos Gonzales | Peer Specialist | 7873 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-03-08 |
| 1306348263 | Kurt Kyle Landenberger | Peer Specialist | 2200 S State St Fl 2, Salt Lake City, UT 84115-2724 | 2018-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.