Randall Charles Hipwell, ACNP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

377763-4405 Issued in UT

Practice address

2733 Highland Dr
Salt Lake City, UT 84106-3144

Phone

(801) 652-9377

Fax

(801) 581-4999

NPI assigned

Aug 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1114173762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063144",
            "telephone_number": "801-652-9377",
            "fax_number": "801-581-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063144",
            "telephone_number": "801-652-9377",
            "fax_number": "801-581-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPWELL",
        "first_name": "RANDALL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "ACNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "377763-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Janet Hinsen, MD
• Joanne Sumpio Hinson, M.D.
• Jonni Rene Hinton
• Marty Hintz, PHARMD
• Hillory Hippen
• Kellen Hirsch, MD
• Michael Rand Hirschi
• Ryan Hirschi, MD
• Lindsay N Hirst
• Cindy Jo Hish

• Acute Care Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.