Individual provider Active NPI

Brittany Sue Pacheco, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • North Salt Lake, UT
National Provider Identifier
1336944776
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11498993-4405 Issued in UT
Practice address
640 N Main St Ste 230
North Salt Lake, UT 84054-2176
Phone
(385) 202-4050
Fax
(385) 273-4541
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11498993-4405 UT Primary

Addresses

Primary practice location

640 N Main St Ste 230
North Salt Lake, UT 84054-2176

Mailing address

640 N Main St Ste 230
North Salt Lake, UT 84054-2176
Phone (385) 202-4050

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
I20250619001880 UT Practitioner - Nurse Practitioner 9638680200

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

498 N 900
Suite 200
Kaysville, UT 84037-4153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11498993-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Clarity Mental Health Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Levo LLC Psychiatric/Mental Health CurrentSince Jun 5, 2025 Accepting new patients
Ascendant Behavioral Health LLC CurrentSince Jul 13, 2026 Accepting new patients

Locations

172 E 14075 S
Draper, UT 84020
Phone (801) 899-0732

121 W Election Rd
Ste 140
Draper, UT 84020
Phone (385) 382-1555

498 N Kays Dr
Ste 200
Kaysville, UT 84037
Phone (385) 382-1555

801 N 500 W
Ste 101
West Bountiful, UT 84010
Phone (770) 634-4603

Interoperability endpoints

  • Direct secure messaging: brittanyp@am-ut.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1336944776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N MAIN ST STE 230",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542176",
            "telephone_number": "385-202-4050",
            "fax_number": "385-273-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N MAIN ST STE 230",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542176",
            "telephone_number": "385-202-4050",
            "fax_number": "385-273-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "BRITTANY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11498993-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.