ELIZABETH ANASTASIA MCDEVITT


Address: 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708
Phone: 7634277964

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2120 Park Ave, Minneapolis, MN 554043378 6128722000 6128711375
1716 Marshall Ave, Saint Paul, MN 551046114 6516469659

Office Location

Street Address 1930 COON RAPIDS BLVD NW
City COON RAPIDS
State MN
Zip Code 55433-4708

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City COON RAPIDS
Zip Code 55433

Improve Information

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Dataset Information

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.

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