Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003580002 Individual Practitioner Female Practitioner

Whitney Petterborg , RDN

Dietitian, Registered • Providence, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Whitney Petterborg, RDN is a certified Dietitian, Registered practicing in Providence, UT. With approximately 7 years of clinical experience since completing medical education in 2019, Whitney Petterborg delivers high-quality medical care to the local community at 517 W 100 N STE 110.

Whitney Petterborg is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

517 W 100 N Ste 110

Providence, UT 843329826

Telephone 4357556075
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Providence, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +3.0 yrs vs City Avg
City Avg: 4.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Providence, UT (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petterborg (7 Years) 7 Yrs
Providence Specialty Average (4.0 Years) 4.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-07-28
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License UT 86118135

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

390 N Main St, Bountiful, UT 840106046

Phone: 8012949933

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Nathan Zurcher

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164085676
Paul Mcomber , PA-C

Physician Assistant

NPI 1245438944

Physician Assistant (Certified)

Marcos Suarez , CSW

Social Worker

NPI 1376234047

Clinical Social Worker

NPI 1508020363

Doctor of Optometry

Naomi Landry , PA-C

Physician Assistant

NPI 1851916464

Physician Assistant (Certified)

Benjamin Kadas , APN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1912975186

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2021

Registered at 517 W 100 N STE 110, PROVIDENCE, UT 843329826 (Tel: 4357556075)

📍
Updated Business Mailing Address August 03, 2021

Registered at 172 MEADOW CIR, LOGAN, UT 843215095

👤
Provider Name / Credentials Updated August 03, 2021

Recorded as WHITNEY PETTERBORG, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2021

Dietitian, Registered (License #86118135 in UT)

🟢
Initial NPI Registration & Enumeration August 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003580002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2021
Last Update: August 03, 2021
Sole Proprietor: Yes

Mailing Address

172 Meadow Cir

Logan, UT 843215095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.