Brigitte Rose Lee, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Salt Lake City, UT
NPI 1831697671 · NPPES record last updated Mar 31, 2023
Key facts
- NPI
- 1831697671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 6601421-4405 (UT)
- Practice address
- 3252 S Teton Dr
Salt Lake City, UT 84109-2379 - Phone
- (801) 554-1636
- NPI assigned
- Jan 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Optum Behavioral Care of Ohio Inc
Practice addresses (Care Compare)
310 E 4500
Suite 600
Murray, UT 84107-4246
Phone (801) 264-9522
4505 S Wasatch Blvd
Suite 320
Salt Lake City, UT 84124-4755
Phone (385) 246-2375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116002478 | UT | Practitioner - Nurse Practitioner | 3870945843 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Ohio, Inc | Current |
Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc. | Current |
Accepting new patients | |
| Best Behavioral Services LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
310 E 4500 S
Ste 600
Salt Lake City, UT 84107
Phone (801) 264-9522
845 E 4800 S
Ste 200
Salt Lake City, UT 84107
Phone (801) 264-9522
4505 S Wasatch Blvd
Ste 320
Slc, UT 84124
Phone (801) 277-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6601421-4405 | UT | Yes |
Addresses
Primary practice location
3252 S Teton Dr
Salt Lake City, UT 84109-2379
Mailing address
3252 S Teton Dr
Salt Lake City, UT 84109-2379
Phone (801) 554-1636
Other providers in Salt Lake City, UT
- Holly Kristine Ledyard
- Christine Lee-Hall
- Allison Lee
- Amber Lynn Lee
- Anthony L Lee
- Bruce Lee
- Camden Bryan Lee
- Caroline Lee
- Christopher Lee
- Eun-Jin Bibianna Lee
All providers in Salt Lake City, UT · Psychiatric/Mental Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.