NPIMap

Individual provider Active NPI

Alicia S. Devine, M.D.

  • Emergency Medicine Physician
  • Hampton, VA
National Provider Identifier
1316160633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101241537 Issued in VA
Practice address
3000 Coliseum Dr
Sentara Careplex Hospital
Hampton, VA 23666-5963
Phone
(757) 736-1000
NPI assigned
Apr 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101241537 VA Primary

Addresses

Primary practice location

3000 Coliseum Dr
Sentara Careplex Hospital
Hampton, VA 23666-5963

Mailing address

1208 W Princess Anne Rd
Norfolk, VA 23507-1000
Phone (757) 623-0712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070830000096 VA Practitioner - Emergency Medicine 9436242815 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101241537VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Tidewater Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Oct 1, 2019 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Oct 1, 2019 Accepting new patients
Carilion Medical Center Emergency Medicine CurrentSince Apr 2, 2018 Accepting new patients

Locations

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4000

Interoperability endpoints

  • Direct secure messaging: adevine101312@direct.carilionclinic.org

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carilion Rockbridge Community HospitalLexington, VA, CCN 491304 Hospital Corporate Officer Oct 1, 2021
Carilion Rockbridge Community HospitalLexington, VA, CCN 49Z304 Hospital Corporate Officer Oct 1, 2021
Carilion Clinic LexingtonLexington, VA, CCN 493419 Rural health clinic Corporate Director Sep 30, 2022
Carilion Clinic Family MedicineLexington, VA, CCN 493420 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicClifton Forge, VA, CCN 493449 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicBuchanan, VA, CCN 493448 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicBuena Vista, VA, CCN 493446 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicBedford, VA, CCN 493447 Rural health clinic Corporate Director Sep 30, 2022

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316160633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W PRINCESS ANNE RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071000",
            "telephone_number": "757-623-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "address_2": "SENTARA CAREPLEX HOSPITAL",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-736-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "ALICIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101241537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.