Brianna Helen Devalk, NP-C
Individual provider Active NPI Family Nurse Practitioner · Travelers Rest, SC
NPI 1669079356 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1669079356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 25250 (SC)
- Practice address
- 200 N Highway 25
Travelers Rest, SC 29690-2300 - Phone
- (866) 389-2727
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012000183 | SC | Practitioner - Nurse Practitioner | 8527434851 | |
| I20250729001470 | VA | Practitioner - Nurse Practitioner | 8527434851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEVA-TUJ22 | NC | MD | Family Nurse Practitioner |
| 0024181054 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Carenow Urgent Care, LLC | Current |
Accepting new patients | |
| Emergency Physicians Immediate Care Center 1 PLLC | Past |
Accepting new patients | |
| Northern Virginia Carenow Urgent Care, LLC | Past |
Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
12214 W Broad St
Henrico, VA 23233
Phone (804) 362-8345
46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024181054 | VA | |
| Family Nurse Practitioner | 363LF0000X | DEVA-TUJ22 | NC | |
| Family Nurse Practitioner | 363LF0000X | 25250 | SC | Yes |
Addresses
Primary practice location
200 N Highway 25
Travelers Rest, SC 29690-2300
Mailing address
200 N Highway 25
Travelers Rest, SC 29690-2300
Other practice location 1
823 Pearman Dairy Rd
Anderson, SC 29625-2617
Phone (864) 225-7878
Other providers in Travelers Rest, SC
- Samantha Anne Curtis
- Miranda Leigh Daniel
- Ricky Garland Davidson
- Francis Wayne Davis
- Jennifer Darlene Deaver
- Elisabeth Rosanne Diehl
- Stacey Dilworth
- Sharon Dockery
- Kaitlin Nicole Doverspike
- Dsi Travelers Rest, LLC
All providers in Travelers Rest, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.