Individual provider Active NPI

Brittany Devall Heyden

  • Family Nurse Practitioner
  • Bassett, NE
National Provider Identifier
1336811595
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113845 Issued in NE
Practice address
202 E Highway 20
Bassett, NE 68714-6052
Phone
(402) 302-0090
Fax
(833) 939-0197
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113845 NE Primary

Addresses

Primary practice location

202 E Highway 20
Bassett, NE 68714-6052

Mailing address

87970 441St Ave
Bassett, NE 68714-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 23, 2026 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113845NEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1336811595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87970 441ST AVE",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687146157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E HIGHWAY 20",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687146052",
            "telephone_number": "402-302-0090",
            "fax_number": "833-939-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALL HEYDEN",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, NE

Sources for this page

Verify at the official NPI Registry.