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

Whitney Petterborg, RDN

Individual provider Registered Dietitian · NPI 1003580002

Whitney Petterborg, RDN is a Registered Dietitian OR Nutrition Professional in Providence, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2021
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

517 W 100 N Ste 110
Providence, UT 84332-9826
Phone: (435) 755-6075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86118135 (UT)

Record details

NPI number1003580002
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateJuly 28, 2021
Mailing address172 Meadow Cir, Logan, UT 84321-5095

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence