AMIRA DERVISEVIC NPI 1881360295

NPI Information

  • NPI: 1881360295
  • Provider Name: AMIRA DERVISEVIC
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 S CHIPETA WAY
    SALT LAKE CITY, UT
    ZIP 84108
  • Phone: (801) 587-3270

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NPI Details

Amira Dervisevic is a psychiatric/mental health registered nurse in Salt Lake City, UT with 5 years of experience. Amira Dervisevic NPI is 1881360295. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 S CHIPETA WAY
SALT LAKE CITY, UT
ZIP 84108-222
Phone: (801) 587-3270

The NPI 1881360295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2021 and was last updated on 12/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health7800211-3102UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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