NPIMap

Individual provider Active NPI

Devin Van Briesen

  • Pharmacist
  • Sheldon, IA
National Provider Identifier
1841576220
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119790 Issued in MN
Practice address
610 Park St
Sheldon, IA 51201-1202
Phone
(712) 324-4331
NPI assigned
Oct 28, 2011
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119790 MN Primary
Pharmacist 183500000X 5675 SD

Addresses

Primary practice location

610 Park St
Sheldon, IA 51201-1202

Mailing address

PO Box 455
Sheldon, IA 51201-0455
Phone (712) 324-4331

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

State licenses

LicenseStateTypeSpecialty
119790MNMDPharmacist
5675SDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Past Accepting new patients
Sanford Health Network Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1841576220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512010455",
            "telephone_number": "712-324-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PARK ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011202",
            "telephone_number": "712-324-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BRIESEN",
        "first_name": "DEVIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119790",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.