Krystal Devine

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

454103 Issued in OH

Practice address

11651 Norbourne Dr Apt 1708
Cincinnati, OH 45240-4472

Phone

(513) 693-5056

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1215595046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 NORBOURNE DR APT 1708",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452404472",
            "telephone_number": "513-693-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 NORBOURNE DR APT 1708",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452404472",
            "telephone_number": "513-693-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN454103",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "454103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivana Marie Devengencie, MD
• Tamela Johnson Devereaux
• Gina Maria Devincent
• Christopher J Devine, M.D.
• Kara Devine, MD
• Lisa M Devine, MA, PCC, SC
• Mina Devine, APRN.CNP, PMHNP-BC
• Nicole Krishna Devine, CNM
• Laura M Devita, M.D.
• James J Devitt II, MD

• Registered Nurse in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.