Nancy Devanna-Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000233 Issued in CT

Practice address

893 Main St
East Hartford Family Medicine Suite 101
East Hartford, CT 06108-2292

Phone

(860) 528-2138

NPI assigned

Dec 29, 2006

Last updated

Sep 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Hartford Physician Services PC

  dba Hartford Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1225194749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOYCE LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702900",
            "telephone_number": "860-651-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 MAIN ST",
            "address_2": "EAST HARTFORD FAMILY MEDICINE SUITE 101",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082292",
            "telephone_number": "860-528-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANNA-MILLER",
        "first_name": "NANCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria A Delgadillo, LCSW
• Karen Dellaripa
• Peter Anthony Dellaripa, RPH
• Jeremiah Dennehy
• Jocelyn M Depathy, PA
• Jadalise L Devone
• Lisa Ellen Dewitt, LCSW
• Cynthia J Dezi, APRN, CRNA
• Peter H Diamond, M.D.
• Ashley M Diaz

• Physician Assistant in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.