KIM G DEVOU (NPI# 1639487333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639487333 |
| Entity Type | Individual |
| Full Name | KIM G DEVOU |
| Credential | NP |
| Practice Address |
2301 N Mlk Blvd Clovis NM 88101-9401 |
| Mailing Address |
2301 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9401 |
| Practice Telephone | 5757624455 |
| Practice Fax Number | 5759355455 |
| Mailing Telephone | 5757624455 |
| Mailing Fax Number | 5759355455 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2016-12-15 |
| 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 |
CNP-01670 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 39778088 | 05 |
| Street Address |
2301 N MLK BLVD |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265686778 | Clovis Family Health Care | Nurse Practitioner | 2301 N Mlk Blvd, Clovis, NM 88101-9401 | 2008-11-11 |
| 1417571258 | Aaron Lockmiller | Nurse Practitioner | 2301 N Mlk Blvd, Clovis, NM 88101-9401 | 2020-06-07 |
| 1780183954 | Amanda Renee Elam | Nurse Practitioner | 2301 N Mlk Blvd, Clovis, NM 88101-9401 | 2018-02-02 |
| 1881833978 | Firouzeh Kasaie | Nurse Practitioner | 2301 N Mlk Blvd, Clovis, NM 88101-9401 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| 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 |
|---|---|---|---|---|
| 1477151116 | Lauren Jones Sparks | Nurse Practitioner | 9 Calle Venado, Santa Fe, NM 87506-0153 | 2020-10-14 |
| 1013524727 | Clarissa Juarez, LLC | Nurse Practitioner | 3900 Juan Tabo Blvd Ne Ste 4, Albuquerque, NM 87111-3978 | 2020-09-26 |
| 1417573338 | Awareness Integration LLC | Nurse Practitioner | 2101 Golf Course Rd Se Ste D, Rio Rancho, NM 87124-1760 | 2020-06-17 |
| 1053933721 | Canu Health, LLC | Nurse Practitioner | 2621 Cutler Ave Ne, Albuquerque, NM 87106-2511 | 2020-05-15 |
| 1477173896 | Diane Johnston, Pmhnp, LLC | Nurse Practitioner | 1619 Villa Strada, Santa Fe, NM 87506-4512 | 2020-04-27 |
| 1245869130 | Indigo Psychiatric Services | Nurse Practitioner | 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 | 2020-04-03 |
| 1912534058 | Meredith Gamez | Nurse Practitioner | 5503 Grove Dr, Sunland Park, NM 88063-9594 | 2020-03-26 |
| 1619516358 | Permian Basin Brain Works Inc | Nurse Practitioner | 1601 N Turner St Ste 405, Hobbs, NM 88240-4331 | 2019-12-28 |
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1689237380 | Bianca Lopez, LLC | Nurse Practitioner | 224 Anthony Dr, Anthony, NM 88021-9366 | 2019-04-17 |
| Find all providers with the same taxonomy | ||||
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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.