Loretta Shupe, CPM, RN, LDEM is a
Midwife based in Ogden, Utah. Loretta Shupe is licensed to practice in Utah (license number 218152-3400) and her current practice location is
5319 S 500 E, Ogden, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 917-6104.
NPI number for Loretta Shupe is 1376079061 and her current mailing address is 431 E 2700 N, North Ogden, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376079061.
Provider's Profile
Full Name | Loretta Shupe |
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Gender | Female |
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Speciality | Midwife |
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Location | 5319 S 500 E, Ogden, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376079061
- Provider Enumeration Date: 05/02/2017
- Last Update Date: 11/01/2018
Medical Identifiers
Medical identifiers for Loretta Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376079061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 218152-3102 (Utah) | Secondary |
176B00000X | Midwife | 218152-3400 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Loretta Shupe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Loretta Shupe, CPM, RN, LDEM 431 E 2700 N, North Ogden, UT 84414-2332 Ph: (801) 628-4573 | Loretta Shupe, CPM, RN, LDEM 5319 S 500 E, Ogden, UT 84405 Ph: (801) 917-6104 |
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