Individual provider Active NPI

Brett Leslie Deutscher, NP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1689952459
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
342754 Issued in NY
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06933282MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VA, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170828004242 CO Practitioner - Nurse Practitioner 0143593046 Reassigns benefits to 1 organization
I20250513002202 VA Practitioner - Nurse Practitioner 0143593046
I20250519002477 WY Practitioner - Nurse Practitioner 0143593046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013644CAMDNurse Practitioner
990140COMDNurse Practitioner
209.021572ILMDNurse Practitioner
RN2352376MAMDNurse Practitioner
342754NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifemd Southern Patient Medical Care PC Nurse Practitioner CurrentSince Jul 16, 2025 Accepting new patients
Puopolo MD PC Nurse Practitioner CurrentSince May 28, 2025 Accepting new patients
Mountain Family Health Centers Current Accepting new patients
Mountain Family Health Centers CurrentSince Jun 6, 2017 Accepting new patients
Mountain Family Health Centers CurrentSince Jun 6, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.