Active NPI
Umparrys Lynne' Witherspoon, DNP, RN, FNP-BC
- Family Nurse Practitioner
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71006684A
- Practice address
- 3800 Saint Mary Rd Ste 102
Valparaiso, IN 46383-3986 - Phone
- (219) 286-3707
- Fax
- (219) 286-3708
- NPI assigned
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28156911A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71006684A | IN | Primary |
Addresses
Primary practice location
3800 Saint Mary Rd Ste 102
Valparaiso, IN 46383-3986
Mailing address
6554 Timberwood Ave
Portage, IN 46368-7240
Phone (219) 746-1152
Other practice location 1
710 Franklin St
Ste 200
Michigan City, IN 46360-3563
Phone (219) 872-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28156911A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Community Care Network Inc | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
27350 Network Pl
Chicago, IL 60673
4844 Broadway
Gary, IN 46408
Phone (219) 884-2400
200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
311 E 89th Ave
Merrillville, IN 46410
Phone (219) 769-6639
710 Franklin St
Ste 200
Michigan City, IN 46360
Phone (219) 872-6200
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
3800 Saint Mary Rd
Ste 102
Valparaiso, IN 46383
Phone (219) 286-3707
1451 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 286-3880
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 8
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
- Federally Qualified Health Center (FQHC)
- Michigan City, IN
- NPI 1013105568
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1700336799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6554 TIMBERWOOD AVE",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463687240",
"telephone_number": "219-746-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SAINT MARY RD STE 102",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833986",
"telephone_number": "219-286-3707",
"fax_number": "219-286-3708"
}
],
"practiceLocations": [
{
"address_1": "710 Franklin St",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463603563",
"country_code": "US",
"telephone_number": "219-872-6200",
"fax_number": "219-872-2915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "UMPARRYS",
"middle_name": "LYNNE'",
"credential": "DNP, RN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28156911A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006684A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.