Active NPI
Brett Leslie Deutscher, NP
- Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 342754
- Practice address
- 530 5TH Ave FL 10
New York, NY 10036-5114 - Phone
- (917) 261-4414
- NPI assigned
- Jul 28, 2011
- Last updated
- Jul 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95013644 | CA | |
| Nurse Practitioner | 363L00000X | 209.021572 | IL | |
| Nurse Practitioner | 363L00000X | RN2352376 | MA | |
| Nurse Practitioner | 363L00000X | 990140 | CO | |
| Nurse Practitioner | 363L00000X | 342754 | NY | Primary |
Addresses
Primary practice location
530 5TH Ave FL 10
New York, NY 10036-5114
Mailing address
1 Liberty PLZ Ste 301
New York, NY 10006-1404
Phone (917) 261-4414
Other practice location 1
320 Beard Creek Rd
Edwards, CO 81632-6426
Phone (970) 945-2840
Other practice location 2
1501 S Clinton St
Baltimore, MD 21224-5730
Phone (866) 763-2211
Other practice location 3
131 S Dearborn St Ste 1025
Chicago, IL 60603-5517
Phone (917) 261-4414
Other practice location 4
1 Post Office Sq
Boston, MA 02109-2106
Phone (917) 261-4414
Other practice location 5
1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06933282 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, VA, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013644 | CA | MD | Nurse Practitioner |
| 990140 | CO | MD | Nurse Practitioner |
| 209.021572 | IL | MD | Nurse Practitioner |
| RN2352376 | MA | MD | Nurse Practitioner |
| 342754 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifemd Southern Patient Medical Care PC | Nurse Practitioner | Current | Accepting new patients |
| Puopolo MD PC | Nurse Practitioner | Current | Accepting new patients |
| Mountain Family Health Centers | Current | Accepting new patients | |
| Mountain Family Health Centers | Current | Accepting new patients | |
| Mountain Family Health Centers | Current | Accepting new patients |
Locations
230 Chapel Sq
#D102
Avon, CO 81620
320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272
1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601
2700 Gilstrap Ct
Ste 230
Glenwood Springs, CO 81601
195 W 14th St
Ste C
Rifle, CO 81650
236 5th Ave
Ste 400
New York, NY 10001
Phone (866) 351-5907
Interoperability endpoints
- brett.deutscher@337577483108356.direct.elationemr.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Glenwood Springs, CO
- NPI 1477552388
-
dba Mountain Family Health Centers Gypsum
- Federally Qualified Health Center (FQHC)
- Gypsum, CO
- NPI 1710661194
-
- Federally Qualified Health Center (FQHC)
- Edwards, CO
- NPI 1972933992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1689952459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LIBERTY PLZ STE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100061404",
"telephone_number": "917-261-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 5TH AVE FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100365114",
"telephone_number": "917-261-4414"
}
],
"practiceLocations": [
{
"address_1": "320 Beard Creek Rd",
"address_purpose": "LOCATION",
"city": "Edwards",
"state": "CO",
"postal_code": "816326426",
"country_code": "US",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 S Clinton St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212245730",
"country_code": "US",
"telephone_number": "866-763-2211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 S Dearborn St Ste 1025",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606035517",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Post Office Sq",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021092106",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 N Virgil Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900292016",
"country_code": "US",
"telephone_number": "917-261-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEUTSCHER",
"first_name": "BRETT",
"middle_name": "LESLIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95013644",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.021572",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2352376",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "990140",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "342754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06933282",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.