William Sean Devlin, MS, RDN, LDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

86056307 Issued in FL

Practice address

4019 Habana Ave
Jacksonville, FL 32217-4036

Phone

(904) 657-9979

NPI assigned

Mar 11, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  Medicare reassignment NPD
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1003674532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 HABANA AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174036",
            "telephone_number": "904-657-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 HABANA AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174036",
            "telephone_number": "904-657-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "WILLIAM",
        "middle_name": "SEAN",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "86056307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Catherine Devine, PA-C
• Alicia Ellen Devine
• Mark Devitt, PT
• Efhril Elomina Devlin, PA-C
• Laura Ann Devlin, CRNA
• Michelle Devlugt, RMHCI
• Yuneisy Devora Rodriguez
• Julie Anna Devore
• Elizabeth Devos, M.D.
• Sarah Dew-Reeves, PH.D.

• Renal Nutrition Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.