Individual provider Active NPI

Breawn Rizzuto, NP-C

  • Nurse Practitioner
  • Murray, UT
National Provider Identifier
1023313020
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5648845-4405 Issued in UT
Practice address
5323 Woodrow St
Suite #102
Murray, UT 84107-5841
Phone
(801) 913-1010
Fax
(801) 913-0665
NPI assigned
Jan 21, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5648845-4405 UT Primary

Addresses

Primary practice location

5323 Woodrow St
Suite #102
Murray, UT 84107-5841

Mailing address

5444 Green St
Murray, UT 84123-5632
Phone (801) 284-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000087 UT Practitioner - Nurse Practitioner 0941481717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 1, 2017 Accepting new patients
Mountain Medical Physician Specialists PC Vascular Surgery CurrentSince Feb 7, 2011 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
MMPS Murray Past Accepting new patients
Central Utah Radiology, PC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3903 Medical Dr
Ste 100
Ogden, UT 84403
Phone (801) 387-8900

5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346

5323 S Woodrow St
Ste 101
Salt Lake City, UT 84107
Phone (801) 313-4118

5334 S Woodrow St
#100
Salt Lake City, UT 84107
Phone (801) 284-1702

5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1023313020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 GREEN ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "801-284-1702",
            "fax_number": "801-262-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 WOODROW ST",
            "address_2": "SUITE #102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075841",
            "telephone_number": "801-913-1010",
            "fax_number": "801-913-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZUTO",
        "first_name": "BREAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "5648845-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.