ELIZABETH ANASTASIA MCDEVITT (NPI# 1508337551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508337551 |
Entity Type | Individual |
Full Name | ELIZABETH ANASTASIA MCDEVITT |
Credential | PMNHP |
Practice Address |
1930 Coon Rapids Blvd Nw Coon Rapids MN 55433-4708 |
Mailing Address |
1716 Marshall Ave Saint Paul MN 55104-6114 |
Practice Telephone | 7634277964 |
Practice Fax Number | 7634277976 |
Mailing Telephone | 6516469659 |
Enumeration Date | 2018-12-16 |
Last Update Date | 2019-03-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6323 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2120 Park Ave, Minneapolis, MN 554043378 | 6128722000 | 6128711375 |
1716 Marshall Ave, Saint Paul, MN 551046114 | 6516469659 |
Street Address |
1930 COON RAPIDS BLVD NW |
City | COON RAPIDS |
State | MN |
Zip Code | 55433-4708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760489751 | Family Life Mental Health Center | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2005-07-05 |
1750850988 | Shanna Weiss | Psychologist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-11-16 |
1578030375 | Isaac Boike | Counselor | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-30 |
1184191165 | James B Benda | Marriage & Family Therapist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-29 |
1710401930 | Tehut T Tefera | Registered Nurse | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2017-07-30 |
1194271361 | Jennifer Lynn Chasco | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 | 2016-08-29 |
1235684424 | Francis Mclaughlin | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2016-08-17 |
1649623083 | Kurt Sayers | Counselor | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2016-07-21 |
1407207400 | Kenyari Wright | Social Worker | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2016-06-30 |
1215324074 | Amanda Adell Dunn | Marriage & Family Therapist | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2015-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
Find all providers in zip 55433 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
1891336640 | Kayla Elizabeth Nowak | Nurse Practitioner | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2019-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
Find all providers with the same taxonomy |
City | COON RAPIDS |
Zip Code | 55433 |
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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.