Provider Type Icon

DENISE JEAN BOUDREAUX-NIPPERT MD NPI 1497862031


NPI Information

NPI: 1497862031
Provider Name: DENISE JEAN BOUDREAUX-NIPPERT, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3584 W 9000 S
SUITE 206
WEST JORDAN, UT
ZIP 84088
Phone: (801) 561-2227
Get Directions

Denise Jean Boudreaux-nippert, MD is an obstetrics gynecology in West Jordan, UT with 22 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Denise Jean Boudreaux-nippert, MD NPI is 1497862031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

3584 W 9000 S
SUITE 206
WEST JORDAN, UT
ZIP 84088-710
Phone: (801) 561-2227
Fax: (801) 561-5353

The NPI 1497862031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/31/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology5414306-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18861690MEDICARE ID-TYPE UNSPECIFIED
2I61710MEDICARE UPIN
38462897MEDICAIDWASHINGTON
4212969OTHERWASHINGTONLABOR & IND. WA STATE
5247321MEDICAIDOREGON
68942479OTHERWASHINGTONCRIME VICTIMS WA STATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.