Active NPI
Brenda Devitt-Nielsen, RN, MHA
- Ophthalmic Registered Nurse
- Salt Lake City, UT
National Provider Identifier
1760770762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Registered Nurse
- License
- 6182326-3102
- Practice address
- George E Wahlen Veterans Administration Ctr
500 Foothill Blvd
Salt Lake City, UT 84148-0001 - Phone
- (801) 582-1565
- NPI assigned
- Jul 12, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 6182326-3102 | UT | |
| Ambulatory Care Registered Nurse | 163WP2201X | 6182326-3102 | UT | |
| Ophthalmic Registered Nurse | 163WX1100X | 6182326-3102 | UT | Primary |
Addresses
Primary practice location
George E Wahlen Veterans Administration Ctr
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Mailing address
George E Wahlen Veterans Administration Ctr
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Phone (801) 582-1565
Other names 1
- Ms. Brenda Devitt
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6182326-3102 | UT | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1760770762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GEORGE E WAHLEN VETERANS ADMINISTRATION CTR",
"address_2": "500 FOOTHILL BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEORGE E WAHLEN VETERANS ADMINISTRATION CTR",
"address_2": "500 FOOTHILL BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITT-NIELSEN",
"first_name": "BRENDA",
"name_prefix": "Ms.",
"credential": "RN, MHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "UT",
"license": "6182326-3102",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "UT",
"license": "6182326-3102",
"primary": false
},
{
"code": "163WX1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ophthalmic",
"state": "UT",
"license": "6182326-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "DEVITT",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.