ELIZABETH DEVLIN (NPI# 1346760253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346760253 |
| Entity Type | Individual |
| Full Name | ELIZABETH DEVLIN |
| Credential | AGNP |
| Practice Address |
25 Long Cove Ct Bloomington IL 61704 |
| Mailing Address |
25 Long Cove Ct Bloomington IL 61704-2902 |
| Practice Telephone | 3096619827 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209016037 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417201948 | Elizabeth Buza Devlin | Physician Assistant | 21312 Provincial Blvd., Katy, TX 77450 | 2012-11-06 |
| 1619387727 | Elizabeth C. Devlin | Anesthesiology | 75 Francis St, Boston, MA 02115 | 2014-04-29 |
| Street Address |
25 LONG COVE CT |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| 1457609802 | Jason Vasquez | Psychologist | 2416 Washington, A-3, Bloomington, IL 61704 | 2012-08-16 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962588657 | Cecelia L Smith | Nurse Practitioner | 637 S Walker, Suite 2, Bloomington, IN 47403-2175 | 2006-10-27 |
| 1942392675 | Bradley J Cole | Nurse Practitioner | 2406 East Empire, Bloomington, IL 61704 | 2006-09-29 |
| 1205364494 | Hena Naz Shah | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-06-01 |
| 1730616756 | Julia Dmitri Jesme | Nurse Practitioner | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2017-05-22 |
| 1275914020 | Jaclyn Rose Guetzko | Nurse Practitioner | 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 | 2015-06-17 |
| 1548669112 | Jennifer Phelps | Nurse Practitioner | 455 S Landmark Ave, Bloomington, IN 47403-5004 | 2014-08-19 |
| 1497181507 | Lindsey Ann Mehran-rezaii | Nurse Practitioner | 8101 34th Ave S, Ms26602g, Bloomington, MN 55425-1692 | 2013-09-20 |
| 1487901997 | Angela Vogt | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2012-08-14 |
| 1962711333 | Kathleen P Price | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2010-10-01 |
| 1942453147 | Frank Nelson Young | Nurse Practitioner | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2008-10-31 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on ELIZABETH DEVLIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.