Individual provider Active NPI

Brenda Devitt-Nielsen, RN, MHA

  • Ophthalmic Registered Nurse
  • Salt Lake City, UT
National Provider Identifier
1760770762
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Registered NurseTaxonomy code 163WX1100X
License
6182326-3102 Issued in UT
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

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
6182326-3102UTMDAmbulatory 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.

Verify at the official NPI Registry.