Individual provider Active NPI

Devon Glynn, FNP-BC

  • Family Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1013503572
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036444 Issued in FL
Practice address
8606 Government Dr Ste 3
New Port Richey, FL 34654-5510
Phone
(727) 816-1520
NPI assigned
Dec 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11036444 FL Primary
Family Nurse Practitioner 363LF0000X APN.0996129-NP CO

Addresses

Primary practice location

8606 Government Dr Ste 3
New Port Richey, FL 34654-5510

Mailing address

1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277
Phone (303) 814-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210119000133 CO Practitioner - Nurse Practitioner 2769895465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0996129-NPCOMDFamily Nurse Practitioner
APRN11036444FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstat Wellness , Inc. CurrentSince Apr 27, 2025 Accepting new patients

Locations

8606 Government Dr
Ste 3
New Port Richey, FL 34654
Phone (727) 816-1520

Interoperability endpoints

  • Direct secure messaging: devon.glynn.1@14940.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1013503572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292277",
            "telephone_number": "303-814-0505",
            "fax_number": "720-638-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8606 GOVERNMENT DR STE 3",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545510",
            "telephone_number": "727-816-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "DEVON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036444",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996129-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.