Individual provider Active NPI

Inez B Withers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Morgan, UT
National Provider Identifier
1649398694
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
106663828900 Issued in UT
Practice address
157 N Commercial St
Morgan, UT 84050-9570
Phone
(256) 425-7884
NPI assigned
Mar 27, 2007
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 106663828900 UT Primary
Case Management Registered Nurse 163WC0400X 1-095255 AL

Addresses

Primary practice location

157 N Commercial St
Morgan, UT 84050-9570

Mailing address

PO Box 27
Morgan, UT 84050-0027
Phone (256) 425-7884

Other practice location 1

116 Cheyenne Trl
Huntsville, AL 35806-1270
Phone (256) 313-0545 ext. 1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-095255ALMDCase Management Registered Nurse
106663828900UTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1649398694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840500027",
            "telephone_number": "256-425-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N COMMERCIAL ST",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509570",
            "telephone_number": "256-425-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Cheyenne Trl",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358061270",
            "country_code": "US",
            "telephone_number": "256-313-0545 x1579",
            "fax_number": "256-955-0372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "INEZ",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "106663828900",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AL",
            "license": "1-095255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.