Active NPI
Debra M Whipple, FNP-BC
- Nurse Practitioner
- Driggs, ID
National Provider Identifier
1235128877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 217729-4405
- Practice address
- 3246 N 1500 E
Driggs, ID 83422 - Phone
- (801) 814-7567
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53869 | ID | |
| Nurse Practitioner | 363L00000X | 217729-4405 | UT | Primary |
Addresses
Primary practice location
3246 N 1500 E
Driggs, ID 83422
Mailing address
PO Box 990
Driggs, ID 83422-0990
Phone (801) 814-7567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217729-4405 | UT | MD | Nurse Practitioner |
| 53869 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Ogden Clinic PC | Nurse Practitioner | Current | Accepting new patients |
Locations
1159 12th St
Ogden, UT 84404
Phone (801) 475-3700
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
5430 S 1900 W
Ste G1
Roy, UT 84067
Phone (801) 779-3266
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1235128877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834220990",
"telephone_number": "801-814-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3246 N 1500 E",
"city": "DRIGGS",
"state": "ID",
"postal_code": "83422",
"telephone_number": "801-814-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIPPLE",
"first_name": "DEBRA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "53869",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "217729-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.