WHITNEY PETTERBORG RDN
NPI 1003580002
Dietitian, Registered in Providence, UT

Q: What is Whitney Petterborg's NPI number?

The NPI number for Whitney Petterborg is 1003580002. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Q: What is Whitney Petterborg's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since August 03, 2021Accepts Medicare Assignment

517 W 100 N STE 110, PROVIDENCE, UT 84332(435) 755-6075 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Whitney Petterborg Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY PETTERBORG RDN (NPI 1003580002) is an individual dietitian, registered in Providence, Utah, licensed in Utah (86118135) and active in the NPI registry since August 2021. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1003580002

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameWHITNEY PETTERBORGCredential: RDN

Location Address517 W 100 N STE 110Providence, UT 84332-9826

Mailing Address172 Meadow CirLogan, UT 84321-5095

Phone(435) 755-6075

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 3, 2021

NPPES CertifiedJuly 28, 2021

✔ NPI 1003580002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in UT · 86118135

Definition

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.

517 W 100 N STE 110, Providence, UT 84332

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Whitney Petterborg Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103283833

PECOS Enrollment IDI20231010002489

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84332 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.03

Typical copayment $0.00 (range $13.58 – $41.50)

Most-billed visit code NA

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN JAY ZURCHER

Nurse Practitioner (Psychiatric/Mental Health)