Individual provider Active NPI

Devyn R Thurber, PNP

  • Pediatric Nurse Practitioner
  • Douglas, AZ
National Provider Identifier
1255707352
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP8041 Issued in AZ
Practice address
815 E 15TH St
Douglas, AZ 85607-1631
Phone
(520) 459-3012
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP8041 AZ Primary

Addresses

Primary practice location

815 E 15TH St
Douglas, AZ 85607-1631

Mailing address

4655 N Commerce Dr
Sierra Vista, AZ 85635-2497
Phone (520) 459-3012

Other practice location 1

155 Calle Portal
Sierra Vista, AZ 85635-2900
Phone (520) 364-1429

Other identifiers 1

IdentifierTypeStateIssuer
051187MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8041AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiricahua Community Health Centers, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: devyn.thurber.p1@direct.cchci.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1255707352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 N COMMERCE DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352497",
            "telephone_number": "520-459-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E 15TH ST",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071631",
            "telephone_number": "520-459-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Calle Portal",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352900",
            "country_code": "US",
            "telephone_number": "520-364-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURBER",
        "first_name": "DEVYN",
        "middle_name": "R",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP8041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051187",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, AZ

Sources for this page

Verify at the official NPI Registry.