MRS. BETH A DEVINE (NPI# 1679670202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679670202 |
Entity Type | Individual |
Full Name | MRS. BETH A DEVINE |
Other Name | MRS. BETH A PIERCE |
Credential | APRN |
Practice Address |
215 East Main Street Providence KY 42450-1261 |
Mailing Address |
Po Box 9150 Regional Health Care Affiliates Paducah KY 42002-9150 |
Practice Telephone | 2706677017 |
Mailing Telephone | 2706677017 |
Mailing Fax Number | 2706679065 |
Enumeration Date | 2006-09-17 |
Last Update Date | 2015-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3004408 | KY | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4408P | KY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS PROVIDER NUMBER | 000000351079 | 01 | |
KY | LICENSE | 4408P | 01 |
KY | 78013083 | 05 |
Street Address |
215 EAST MAIN STREET |
City | PROVIDENCE |
State | KY |
Zip Code | 42450-1261 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255476594 | Jon Gregory Dunn | Dentist | 110 Barrett St, Providence, KY 42450 | 2007-02-21 |
1013010768 | Kentucky Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 105 Us Highway 41a S, Providence, KY 42450 | 2006-09-07 |
1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
1194020230 | Regional Health Care Affiliates, Inc | Family Medicine | 9086 State Route 132 West, Clay, KY 42450 | 2011-01-21 |
1245535848 | Winona F Lambdin | Nurse Practitioner | 215 E Main St, Providence, KY 42450 | 2011-01-13 |
1376747519 | Providence Ind. Schools | Local Education Agency (LEA) | 302 W Main St, Providence, KY 42450-1140 | 2007-06-12 |
1336650662 | Chelsey Aikins | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-10-13 |
1477087963 | Ellen Parrish | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2017-04-12 |
1427598952 | Allison Marie Choate | Dietitian, Registered | 215 E Main St, Providence, KY 42450-1261 | 2017-03-02 |
1407393481 | Ronnah Ann Alexander | Pharmacist | 215 E Main St, Providence, KY 42450-1261 | 2017-01-27 |
Find all providers in zip 42450 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154933984 | Sarah Jane France | Nurse Practitioner | 1 Randall Sq Ste 409, Providence, RI 02904-7405 | 2020-08-22 |
1225664386 | Monica A Harris | Nurse Practitioner | 1078 S 800 E, Providence, UT 84332-2400 | 2020-03-20 |
1669008728 | Sean Andrew Rebello | Nurse Practitioner | 180 Corliss St Ste E, Providence, RI 02904-2602 | 2020-03-19 |
1902456270 | Nelsy Robles Colon | Nurse Practitioner | 1 Randall Sq Ste 205, Providence, RI 02904-2773 | 2019-09-18 |
1518511021 | Effiem Obasi | Nurse Practitioner | 143 Longwood Ave, Providence, RI 02908-1121 | 2019-08-01 |
1861056608 | Temperance Taylor | Nurse Practitioner | 222 Dora St Apt 1, Providence, RI 02909-3824 | 2019-04-26 |
1790240141 | Miriannys Rivas | Nurse Practitioner | 170 Rhodes St, Providence, RI 02903-4919 | 2019-02-08 |
1962970947 | Wesley Irish | Nurse Practitioner | 21 Pekin St, Providence, RI 02908-3716 | 2018-11-07 |
1902317449 | Ashley Lynn Wright | Nurse Practitioner | 120 Dudley St Ste 104, Providence, RI 02905-2431 | 2017-10-23 |
1699216226 | Julie L'europa | Nurse Practitioner | 1085 North Main Street, Providence, RI 02904-7426 | 2017-03-15 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 42450 |
Please comment or provide details below to improve the information on MRS. BETH A DEVINE.
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.