Individual provider Active NPI

Brittany Eileen Cantwell, FNP

  • Family Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1407689540
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11155204-4405 Issued in UT
Practice address
2121 North Ave
Grand Junction, CO 81501-6428
Phone
(970) 242-0731
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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 11155204-4405 UT Primary

Addresses

Primary practice location

2121 North Ave
Grand Junction, CO 81501-6428

Mailing address

778 N 500 W
Moab, UT 84532-2018
Phone (406) 590-8216

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
I20251209001438 UT Practitioner - Nurse Practitioner 8820582711 Reassigns benefits to 2 organizations

Care Compare profile

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

Practice addresses (Care Compare)

450 W Williams Way
Moab, UT 84532-2185

715 Horizon Dr
Grand Junction, CO 81506-8700

PO Box
Grand Junction, CO 81502

Hospital & facility affiliations

  • Moab Regional Hospital Hospital, Moab, UT, CCN 461302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11155204-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moab Valley Healthcare, Inc. CurrentSince Sep 10, 2025 Accepting new patients
Moab Valley Healthcare, Inc CurrentSince Sep 10, 2025 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Oct 14, 2025 Accepting new patients
Moab Valley Healthcare Inc Past Accepting new patients

Locations

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500

Organizations & group practices 4

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.

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1407689540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 N 500 W",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322018",
            "telephone_number": "406-590-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016428",
            "telephone_number": "970-242-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "BRITTANY",
        "middle_name": "EILEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11155204-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.