Raissa De Sousa Fernandes

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

141901203102 Issued in UT

Practice address

5983 S Redwood Rd
Taylorsville, UT 84123-5261

Phone

(435) 655-1141

NPI assigned

Aug 29, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1518846997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 S SHELBY VIEW DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475663",
            "telephone_number": "435-655-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5983 S REDWOOD RD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235261",
            "telephone_number": "435-655-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SOUSA FERNANDES",
        "first_name": "RAISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "UT",
            "license": "141901203102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Davis
• Nicole Davis
• Braxton Day
• Brooklyn Day
• Savannah Day
• John Eric Dean, DDS
• Makayla Dean
• Janzen Deans
• Gayle Dearsen
• Rachael Deceuster

• General Practice Registered Nurse in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• General Practice Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.