Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan B Shipp

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114403698

Ethan B Shipp is a Nurse Practitioner in Murray, Utah. Qualified in 2020, 6 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2018
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Practice location Address checks out

650 E 4500 S Ste 300
Murray, UT 84107-4502
Phone: (801) 261-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5560934-4405 (UT)

Record details

NPI number1114403698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2018
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address650 E 4500 S Ste 300, Murray, UT 84107-4502

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Murray