Devine Family Healthcare

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R48132 Issued in NM

Legal business name

DEVINE FAMILY HEALTHCARE

Practice address

38 Apache Plume Rd
Los Lunas, NM 87031-9545

Phone

(505) 859-0686

Fax

(505) 565-2835

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary J Devine, CFNP

Title

Owner

Phone

(505) 859-0686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha R Chipi, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Sunrise, FL
  • NPI 1750412938
  NPD (past)
• Mary Joyce Palecek, CFNP

  • Family Nurse Practitioner
  • Lindale, TX
  • NPI 1801806526
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013086685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870020907",
            "telephone_number": "505-859-0686",
            "fax_number": "505-565-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 APACHE PLUME RD",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319545",
            "telephone_number": "505-859-0686",
            "fax_number": "505-565-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-859-0686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "R48132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69304718",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalind Monica Degeorge, PA-C
• Catherine Ann Delaney, PA-C
• Brendan James Deline, DMD
• Tina Delwiche
• Desert Sage Counseling & Consulting
• Jazmine Diaz
• Divine Wellness and Primary Care LLC
• DMR Trusted Investments Dba Nurse Next Door Albuquerque
• Ashley Dominguez Fernandez
• Eleanor E Dominguez, CCHW

• Primary Care Clinic/Center in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.