Brenda Reiss Brennan, APRN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

1993934405 Issued in UT

Practice address

2000 S 900 E
SLC, UT 84105-3208

Phone

(801) 464-7854

Fax

(801) 464-7876

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba North Ogden Clinic - InstaCare

  • Emergency Medicine Physician
  • North Ogden, UT
  • NPI 1033240460
  NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467523621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S 900 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841053208",
            "telephone_number": "801-464-7854",
            "fax_number": "801-464-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S 900 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841053208",
            "telephone_number": "801-464-7854",
            "fax_number": "801-464-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS BRENNAN",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "UT",
            "license": "1993934405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Jo Ray, SLP
• Katrina Raymond
• Kimberly Reade, CMHC
• Danielle Reasch
• Jennifer Reese
• Angela G Reyna
• Jacob Daniel Reynolds
• Colton Rice
• Alia I Richards
• Collette Pace Richards, MS CCC-SLP

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in SLC, UT
• Providers in SLC, UT by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.