Individual provider Active NPI

Kanti Devkota, FNP

  • Nurse Practitioner
  • Cheyenne, WY
National Provider Identifier
1063979003
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1817 Issued in WY
Practice address
1331 Prairie Ave Ste 2
Cheyenne, WY 82009-4867
Phone
(307) 778-3121
NPI assigned
Feb 26, 2019
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1817 WY Primary

Addresses

Primary practice location

1331 Prairie Ave Ste 2
Cheyenne, WY 82009-4867

Mailing address

1331 Prairie Ave
Ste 2
Cheyenne, WY 82009-4867
Phone (307) 778-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20190426000648 WY Practitioner - Nurse Practitioner 0446592232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Care Physician Services LLCGroup PAC ID 5395861306, 18 clinicians

Practice addresses (Care Compare)

1330 Prairie Ave
Cheyenne, WY 82009-4842
Phone (307) 778-8997

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1817WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Care Physician Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
Howard a Schneider M.D. P.C. Past Accepting new patients

Locations

1991 Carroll St
Alamosa, CO 81101
Phone (719) 589-4951

240 Craft Dr
Alamosa, CO 81101
Phone (719) 589-3367

1200 Village Rd
Carbondale, CO 81623
Phone (970) 963-1500

1250 Village Rd
Carbondale, CO 81623
Phone (970) 384-7033

815 Fremont Ave
Fort Morgan, CO 80701
Phone (970) 867-8261

530 W 16th St
Salida, CO 81201
Phone (303) 751-2000

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1063979003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 PRAIRIE AVE",
            "address_2": "STE 2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094867",
            "telephone_number": "307-778-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 PRAIRIE AVE STE 2",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094867",
            "telephone_number": "307-778-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVKOTA",
        "first_name": "KANTI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "1817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.