NPIMap

Organization Active NPI

Brett Robbins MSN RN CS FNP Inc

Doing business as Cedar Valley Medical Clinic

  • Family Nurse Practitioner
  • Cedar City, UT
National Provider Identifier
1730365024
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216003-4405 Issued in UT
Legal business name
BRETT ROBBINS MSN RN CS FNP INC
Doing business as
Cedar Valley Medical Clinic
Practice address
2002 N Main St
Suite 3
Cedar City, UT 84721-9811
Phone
(435) 867-1960
Fax
(435) 867-1962
NPI assigned
Jan 16, 2008
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Brett E Robbins, CFNPNPI 1023068426
Title
Owner
Phone
(435) 867-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216003-4405 UT Primary

Addresses

Primary practice location

2002 N Main St
Suite 3
Cedar City, UT 84721-9811

Mailing address

PO Box 1539
Cedar City, UT 84721-1539
Phone (435) 867-1960

Other identifiers 4

IdentifierTypeStateIssuer
21600344001001OtherUTBLUE CROSS BLUE SHIELD
528063826021MedicaidUT
68472OtherUTPEHP
835681OtherUTFIRST HEALTH NETWORK

Other names 1

  • Cedar Valley Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000486 UT Part B Supplier - Clinic/Group Practice 4284529025 Receives reassigned benefits from 6 practitioners
Practice locations: Cedar City, UT

National Provider Directory

National Provider Directory

Locations

2002 N Main St
Cedar City, UT 84721
Phone (435) 867-1960

2002 N Main St
Ste 3
Cedar City, UT 84721
Phone (435) 688-0648

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1730365024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847211539",
            "telephone_number": "435-867-1960",
            "fax_number": "435-867-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219811",
            "telephone_number": "435-867-1960",
            "fax_number": "435-867-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT ROBBINS MSN RN CS FNP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-867-1960",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "216003-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21600344001001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528063826021",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "68472",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "835681",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.