Piper Lynn Dereus, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

50704753102 Issued in UT

Practice address

249 S 700 E Apt 57
Salt Lake City, UT 84102-2145

Phone

(801) 907-0317

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

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

Other names 1

• Piper Lynn Shaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1558626135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 S 700 E APT 57",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022145",
            "telephone_number": "801-907-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 S 700 E APT 57",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022145",
            "telephone_number": "801-907-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREUS",
        "first_name": "PIPER",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "UT",
            "license": "50704753102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PIPER",
            "last_name": "SHAW",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Deras
• Christina Marie Derbidge, PHD
• Pauline Derbidge
• Willard Dere, M.D.
• Derek Cragun, LCSW PLLC (Derek Cragun, LCSW)
• David Scott Derezotes, LCSW, PHD
• Dermatology Division University of Utah Medical Center (U-U Dermatology Division School of Medicine)
• Kathryn Louise Derrick, RN
• Benjamin D Deru
• Tamera Lyn Derushia

• Psychiatric/Mental Health Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• 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 10, 2012; 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.