Individual provider Active NPI

Debra Ledingham, WHNP, CNM

  • Women's Health Nurse Practitioner
  • Orem, UT
National Provider Identifier
1700288727
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
190459-4405 Issued in UT
Practice address
505 W 400 N
Orem, UT 84057-1950
Phone
(801) 714-3422
Fax
(871) 434-2401
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 190459-4405 UT Primary

Addresses

Primary practice location

505 W 400 N
Orem, UT 84057-1950

Mailing address

505 W 400 N
Orem, UT 84057-1950
Phone (801) 714-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028000563 UT Practitioner - Nurse Practitioner 4981825312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

505 W 400
Orem, UT 84057-1950
Phone (801) 714-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
190459-4405UTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Jun 3, 2018 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jun 3, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Sep 28, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Sep 28, 2016 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

505 W 400 N
Orem, UT 84057
Phone (801) 357-7525

395 W Cougar Blvd
Ste 203
Provo, UT 84604
Phone (801) 357-7009

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1700288727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571950",
            "telephone_number": "801-714-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W 400 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571950",
            "telephone_number": "801-714-3422",
            "fax_number": "871-434-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDINGHAM",
        "first_name": "DEBRA",
        "credential": "WHNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "190459-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.