Active NPI
Caroline S Devany, NP
- Primary Care Nurse Practitioner
- Oakland, CA
National Provider Identifier
1275370678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95030893
- Practice address
- 201 13TH St Ofc Po12065
Oakland, CA 94612-3941 - Phone
- (925) 451-2819
- NPI assigned
- Jul 11, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95030893 | CA | Primary |
Addresses
Primary practice location
201 13TH St Ofc Po12065
Oakland, CA 94612-3941
Mailing address
201 13TH St Ofc Po12065
Oakland, CA 94612-3941
Phone (925) 451-2819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240821005207 | CA | Order and Referring Only - Nurse Practitioner | 2163961160 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1753 Carroll Ave
San Francisco, CA 94124-2647
201 13TH St Ofc
Oakland, CA 94612-3941
53 Dakota Ave N
Huron, SD 57350-1558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- cdevany315766@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1275370678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 13TH ST OFC PO12065",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123941",
"telephone_number": "925-451-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 13TH ST OFC PO12065",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123941",
"telephone_number": "925-451-2819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVANY",
"first_name": "CAROLINE",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95030893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.