DEVRY GARITY (NPI# 1649206186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649206186 |
Entity Type | Individual |
Full Name | DEVRY GARITY |
Credential | CPNP |
Practice Address |
4136 Bartlett St Homer AK 99603-7001 |
Mailing Address |
961 S Larkspur Cir Homer AK 99603-8219 |
Practice Telephone | 9072358586 |
Practice Fax Number | 9072356639 |
Mailing Telephone | 4065293728 |
Enumeration Date | 2006-06-25 |
Last Update Date | 2014-05-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
651 | AK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 4303210 | 05 |
Street Address |
4136 BARTLETT ST |
City | HOMER |
State | AK |
Zip Code | 99603-7001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932104098 | Teresa K Johnson | Family Medicine | 4136 Bartlett St, Homer, AK 99603-7001 | 2005-06-16 |
1487115077 | Rachel Zander | Pharmacist | 4136 Bartlett St, Homer, AK 99603-7001 | 2019-03-27 |
1326557851 | Lisa Milam | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-09-27 |
1144758004 | Anna Jeanne Williams | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-05-23 |
1194259952 | Dana Whittaker | Advanced Practice Midwife | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-04-18 |
1497123160 | Laura Greet | Midwife | 4136 Bartlett St, Homer, AK 99603-7001 | 2015-09-10 |
1780013532 | Christy Lee Martinez | Family Medicine | 4136 Bartlett St, Homer, AK 99603-7001 | 2013-11-02 |
1992091151 | Christina Marie Tuomi | Family Medicine | 4136 Bartlett St, Homer, AK 99603-7001 | 2011-06-24 |
1235264409 | Randall Habecker Wiest | Family Medicine | 4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603-7001 | 2007-02-21 |
1043352214 | Paul Leo Eneboe | Family Medicine | 4136 Bartlett St, Homer Medical Clinic, Homer, AK 99603-7015 | 2007-02-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
Find all providers in zip 99603 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184053340 | Pelican Pediatrics, LLC | Nurse Practitioner | 911 W Main St, Suite C, Homer, LA 71040-3300 | 2013-11-07 |
1629231535 | Leslie C Brasher | Nurse Practitioner | 911 W Main St, Suite C, Homer, LA 71040-3300 | 2008-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063041119 | Stephanie Erin Beck | Nurse Practitioner | 20567 Birch Crest Ln, Eagle River, AK 99577-6822 | 2020-04-02 |
1407109440 | Alaska Developmental Behavioral Pediatrics | Nurse Practitioner | 19202 Mccrary Rd, Eagle River, AK 99577-7947 | 2012-10-15 |
1912288770 | Pnps of Alaska, Randy Twenhafel PC | Nurse Practitioner | 5139 Wood Hall Dr, Anchorage, AK 99516-7536 | 2011-09-06 |
1548376775 | Christine Ersland | Nurse Practitioner | 3340 Providence Dr Ste 452, Anchorage, AK 99508-4628 | 2006-08-21 |
1043208960 | Randall Twenhafel | Nurse Practitioner | 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 | 2005-10-13 |
1548815459 | Danielle Lisse | Nurse Practitioner | 2741 Debarr Rd Ste C308, Anchorage, AK 99508-2972 | 2019-08-07 |
1316501802 | Nicole Lynn Marnell | Nurse Practitioner | 4600 Abbott Rd, Anchorage, AK 99507-4314 | 2019-04-30 |
1710488788 | Paulle Jeanne Richard | Nurse Practitioner | 1919 Lathrop St Ste 100, Fairbanks, AK 99701-5937 | 2018-02-26 |
1417465279 | Emily Therese Skrocki | Nurse Practitioner | 4501 Diplomacy Dr, Anchorage, AK 99508-5919 | 2018-01-15 |
1831602341 | Desiree Dawn Cook | Nurse Practitioner | 3750 E. Country Field Circle, Suite C, Wasilla, AK 99654 | 2017-11-07 |
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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.