Gail Ann Mathieson-Devereaux, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F330362 Issued in NY

Practice address

4211 State Highway 220
Oxford, NY 13830-4305

Phone

(607) 843-3121

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By 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

Nurse Practitioner

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.

• State of New York Comptrollers Office

  dba NYS Veterans Home at Oxford

  • Skilled Nursing Facility
  • Oxford, NY
  • NPI 1386851004
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255487724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GILLEN DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139035942",
            "telephone_number": "607-722-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 STATE HIGHWAY 220",
            "city": "OXFORD",
            "state": "NY",
            "postal_code": "138304305",
            "telephone_number": "607-843-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIESON-DEVEREAUX",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R Hauptfleisch, PT
• Cathie L. Heggie, OTR/L
• Marjorie Ketzak, DO
• Mary Lamonica, OTR/L
• Valeda Macdonald
• Renee Janet Maynard, RN
• Terri Lynne Maynard, LPN
• Chelsea Nan Miller, RN
• Vickie Lee Montalvo, M.S. CCC-SLP / L
• Ronica Lynn Murphy, FNP

• Family Nurse Practitioner in Oxford, NY
• Providers in Oxford, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.