Loretta Shupe, C.P.M., R.N., LDEM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

218152-3400 Issued in UT

Practice address

5319 S 500 E
Ogden, UT 84405

Phone

(801) 917-6104

NPI assigned

May 2, 2017

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Vitality Generation & Midwifery LLC

  • Midwife
  • Ogden, UT
  • NPI 1336669100

  Registered Nurse

  NPD (past) Authorized official
• Vitality Generation & Midwifery, LLC

  dba My Family Birth Center

  • Birthing Clinic/Center
  • Ogden, UT
  • NPI 1750858403

  Registered Nurse

  NPD (past) Authorized official

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1376079061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E 2700 N",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142332",
            "telephone_number": "801-628-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-917-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "LORETTA",
        "credential": "C.P.M., R.N., LDEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "218152-3102",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "UT",
            "license": "218152-3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clydeeve A Shreve, DPM
• Alexis L Shrock
• Alex Shumate
• Annie Shumway
• Bo Tucker Shupe
• William J Shurtleff, DDS
• John R Siddoway, MD
• Danielle Sierra
• Dustin Jay Siler, PA-C
• Martha Silos

• Midwife in Ogden, UT
• Providers in Ogden, UT by specialty
• Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.