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MRS. BETH A DEVINE APRN NPI 1679670202


NPI Information

NPI: 1679670202
Provider Name: MRS. BETH A DEVINE, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
215 EAST MAIN STREET
PROVIDENCE, KY
ZIP 42450
Phone: (270) 667-7017
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MRS. Beth A Devine, APRN is a family nurse practitioner in Providence, KY with 20 years of experience. MRS. Beth A Devine, APRN NPI is 1679670202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

215 EAST MAIN STREET
PROVIDENCE, KY
ZIP 42450-261
Phone: (270) 667-7017

The NPI 1679670202 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 9/17/2006 and was last updated on 7/14/2015.


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
1363LF0000XNurse PractitionerFamily4408PKENTUCKYNo
2363LF0000XNurse PractitionerFamily3004408KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10902402MEDICARE PIN
20903656MEDICARE PIN
34408POTHERKENTUCKYLICENSE
40935306MEDICARE PIN
578013083MEDICAIDKENTUCKY
6Q26888MEDICARE UPIN
7000000351079OTHERBCBS PROVIDER NUMBER
8P00206949MEDICARE PINKENTUCKY
90952004MEDICARE PIN

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: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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