OrganizationActive
Carol'S Personal Mastectomy Boutique of Southern Utah LLC
NPI 1013014240 · Durable Medical Equipment & Medical Supplies · St George, UT
Provider details
- NPI number
- 1013014240
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jennnifer Flowers, Owner(435) 688-0452
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1490 E Foremaster Dr Ste 310
St George, UT 84790-4504
Phone: (435) 688-0452
Fax: (435) 688-0453
Street-level locationGet directions
Mailing address
1490 E Foremaster Dr Ste 310
St George, UT 84790-4504
Other names (DBA / former)
- Doing business as
- Carols Post Mastectomy Spec
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.