Individual provider Active NPI

Brenda Devereaux, MS CCC-A

  • Audiologist
  • Orem, UT
National Provider Identifier
1245515980
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
359436-4101 Issued in UT
Practice address
212 W 520 N
Orem, UT 84057-4695
Phone
(801) 221-1220
Fax
(801) 515-0708
NPI assigned
Oct 13, 2011
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 359436-4101 UT Primary

Addresses

Primary practice location

212 W 520 N
Orem, UT 84057-4695

Mailing address

212 W 520 N
Orem, UT 84057-4695
Phone (801) 221-1220

Other names 1

  • Brenda Devereaux Ward Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://houseofhearingaidsutah.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120516000170 UT Practitioner - Qualified Audiologist 3173786852 Reassigns benefits to 1 organization
I20240115001613 OR Practitioner - Qualified Audiologist 3173786852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 W 520
Orem, UT 84057-4695
Phone (801) 221-1220

514 7TH St
Oregon City, OR 97045-2235
Phone (503) 239-8918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
359436-4101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
D&a Financial Services, LLC Audiologist CurrentSince Nov 22, 2023 Accepting new patients
Ag, Inc. PastSince Nov 22, 2023 Accepting new patients
Jeff & Lisa Enterprises, LLC Audiologist Past Accepting new patients

Locations

2318 Heritage Way SE
Albany, OR 97322
Phone (541) 826-8092

514 7th St
Oregon City, OR 97045
Phone (503) 239-8918

150 N Main St
Ste 108
Heber City, UT 84032
Phone (801) 203-4055

2156 N Hill Field Rd
Ste 3
Layton, UT 84041
Phone (801) 203-4055

285 S 4th E
Ste 216
Moab, UT 84532
Phone (801) 221-1220

1125 Blackhawk Blvd
Mt Pleasant, UT 84647
Phone (435) 986-7156

212 W 520 N
Orem, UT 84057
Phone (801) 221-1220

431 E Main St
Vernal, UT 84078
Phone (801) 221-1220

598 W 900 S
Ste 102
Woods Cross, UT 84010
Phone (801) 203-4055

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1245515980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 520 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574695",
            "telephone_number": "801-221-1220",
            "fax_number": "801-515-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W 520 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574695",
            "telephone_number": "801-221-1220",
            "fax_number": "801-515-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEREAUX",
        "first_name": "BRENDA",
        "credential": "MS CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "359436-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://houseofhearingaidsutah.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "212 W 520 N",
            "city": "Orem",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840574695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WARD",
            "middle_name": "DEVEREAUX",
            "credential": "MS CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.