Devoughn T. Owens

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704188778 Issued in MI

Practice address

23580 Meadowlark St
Oak Park, MI 48237-2275

Phone

(248) 545-0133

Fax

(248) 864-8724

NPI assigned

May 11, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Meadowlark Home Care Inc.

  • Foster Care Agency
  • Oak Park, MI
  • NPI 1043708357
  NPD (past) Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1295262913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23580 MEADOWLARK ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372275",
            "telephone_number": "248-545-0133",
            "fax_number": "248-864-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23580 MEADOWLARK ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372275",
            "telephone_number": "248-545-0133",
            "fax_number": "248-864-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DEVOUGHN",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704188778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FOSTER CARE PROVIDER FOR THE MENTALLY ILL AND DEVELOPMENTALLY DISABLED",
            "identifier": "AS630247107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• One Stop Medical & Dental Products, Inc
• One Vision Pharmacy Services Inc
• Orthopedic Medical Building Inc
• Suzanne Osantowski
• Owens Playhouse Center Home Care
• Dominique Michaela Pace
• Mercedes Pace
• Pain Stop MD
• Marina Pak, COTA
• Palms Physical Therapy

• Registered Nurse in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.