Active NPI
Inez B Withers, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Morgan, UT
National Provider Identifier
1649398694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 106663828900
- Practice address
- 157 N Commercial St
Morgan, UT 84050-9570 - Phone
- (256) 425-7884
- NPI assigned
- Mar 27, 2007
- Last updated
- Jan 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-095255 | AL | MD | Case Management Registered Nurse |
| 106663828900 | UT | MD | Psychiatric/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.