Individual provider Active NPI

Karen Witzel Whittemore, FNP

  • Family Nurse Practitioner
  • Cedar City, UT
National Provider Identifier
1033153341
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
198462-4405 Issued in UT
Practice address
74 W Harding Ave
Cedar City, UT 84720-2562
Phone
(435) 865-1387
Fax
(435) 865-6357
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 198462-4405 UT Primary

Addresses

Primary practice location

74 W Harding Ave
Cedar City, UT 84720-2562

Mailing address

74 W Harding Ave
Cedar City, UT 84720-2562
Phone (435) 865-1387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000110 UT Practitioner - Nurse Practitioner 1850393729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Utah School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 986-2565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center CurrentSince May 10, 2015 Accepting new patients
Southwest Utah Community Health Center Family Medicine Current Accepting new patients
Southwest Utah Community Health Center CurrentSince May 10, 2015 Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients

Locations

74 W Harding Ave
Cedar City, UT 84720
Phone (435) 865-1387

245 E 680 S
Cedar City, UT 84720
Phone (435) 867-7654

391 N 200 W
Hurricane, UT 84737
Phone (435) 359-9899

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGABA/Endpoint/CGGABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGABA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1033153341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W HARDING AVE",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202562",
            "telephone_number": "435-865-1387",
            "fax_number": "435-865-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W HARDING AVE",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847202562",
            "telephone_number": "435-865-1387",
            "fax_number": "435-865-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEMORE",
        "first_name": "KAREN",
        "middle_name": "WITZEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "198462-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.