Individual provider Active NPI

Channing Breana Silcox, RN

  • Occupational Health Registered Nurse
  • Riverton, UT
National Provider Identifier
1750895538
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
9031978-3102 Issued in UT
Practice address
4856 W Legacy Springs Dr Apt 907
Riverton, UT 84096-7385
Phone
(801) 253-6050
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 9031978-3102 UT Primary

Addresses

Primary practice location

4856 W Legacy Springs Dr Apt 907
Riverton, UT 84096-7385

Mailing address

4856 W Legacy Springs Dr Apt 907
Riverton, UT 84096-7385

Other names 1

  • Channing Breana Egly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9031978-3102UTMDOccupational Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1750895538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 W LEGACY SPRINGS DR APT 907",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 W LEGACY SPRINGS DR APT 907",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967385",
            "telephone_number": "801-253-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILCOX",
        "first_name": "CHANNING",
        "middle_name": "BREANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "UT",
            "license": "9031978-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANNING",
            "last_name": "EGLY",
            "middle_name": "BREANA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.