Shana Leah Deveaux
Individual provider Active NPI Nurse Practitioner · Clinton, MA
NPI 1154082204 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1154082204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN2348440 (MA)
- Practice address
- 236 Main St
Clinton, MA 01510-4022 - Phone
- (518) 322-6095
- NPI assigned
- Dec 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2348440 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Nurse Practitioner | Past | Accepting new patients |
Locations
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGJAED/Endpoint/JGJAED
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2348440 | MA | |
| Nurse Practitioner | 363L00000X | RN2348440 | MA | Yes |
Addresses
Primary practice location
236 Main St
Clinton, MA 01510-4022
Mailing address
236 Main St
Clinton, MA 01510-4022
Phone (518) 322-6095
Other names
- Shana Leah Orourke
Other providers in Clinton, MA
- Blithen Anne Davis
- Gene Francis Dungo Del Rosario
- Sandra Jean Dellacroce
- Descarte Inpatient Services
- Sadie Jane Despotopulos
- Rajesh Bhagwandas Dharampuriya
- Dr Sunit Jain Inc
- Dr. John B. Mitchell, DC
- John N Ducimo
- Christine Erin Duval
All providers in Clinton, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.