Individual provider Active NPI

Caroline S Devany, NP

  • Primary Care Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1275370678
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95030893 Issued in CA
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

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

  • Direct secure messaging: 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

Verify at the official NPI Registry.