Theron A Draper, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

362182-3501 Issued in UT

Practice address

3600 N 455 W
Panguitch, UT 84759

Phone

(435) 676-2041

NPI assigned

Nov 9, 2010

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Utah School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne Community Health Centers, Inc. 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: theron.draper@wchcinc.eclinicaldirectplus.com

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.

• Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Bicknell, UT
  • NPI 1093816282

  UT

  Medicare reassignment Care Compare group
• Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Escalante, UT
  • NPI 1568886000
  Care Compare group NPD
• Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hanksville, UT
  • NPI 1093863342
  Care Compare group NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1679874580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N 455 W",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "84759",
            "telephone_number": "435-676-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N 455 W",
            "city": "PANGUITCH",
            "state": "UT",
            "postal_code": "84759",
            "telephone_number": "435-676-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "THERON",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "362182-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Van Gils, DPM, PC
• Deborah Coles
• Joseph Coombs, LPC
• Maxi Edra Dax, PA
• Timothy A Dennis, PA-C
• Eric C Fawson, MSW LCSW
• Frandsen & Albrecht Physical Therapy Inc
• David Bert Frandsen, MSPT
• Jan P Frandsen, RN
• Garfield County

• All providers in Panguitch, UT
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.