NPI

Reggie Michael Gillins

NPI 1619311974

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2013-04-17
Last updated
2025-09-23

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Specialties

Licenses

License ND
R42548
License UT
7013719-4405
License AZ
TAP4963

Location

Practice location
355 N Main St
City
Kanab UT
Postal code
84741-3260
Phone
(435) 644-4100
Fax
(435) 644-3366

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Family Nurse Practitioners in Kanab, UT. 5 with this primary taxonomy in the public file.

Other NPIs in Kanab, UT. 92 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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