Individual provider Active NPI

Elizabeth Devries, APRN

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1316229388
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003501 Issued in FL
Practice address
17929 Hunting Bow Cir
Lutz, FL 33558-5378
Phone
(813) 792-8555
Fax
(813) 792-0555
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003501 FL Primary

Addresses

Primary practice location

17929 Hunting Bow Cir
Lutz, FL 33558-5378

Mailing address

17929 Hunting Bow Cir
Lutz, FL 33558-5378
Phone (813) 792-8555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL frontdesk@yourfamilywalkinclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11003501FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Walk-in Clinic LLC CurrentSince Aug 6, 2019 Accepting new patients

Locations

17929 Hunting Bow Cir
Lutz, FL 33558
Phone (813) 792-8555

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1316229388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17929 HUNTING BOW CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585378",
            "telephone_number": "813-792-8555",
            "fax_number": "813-792-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17929 HUNTING BOW CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585378",
            "telephone_number": "813-792-8555",
            "fax_number": "813-792-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "frontdesk@yourfamilywalkinclinic.com",
            "affiliation": "N",
            "address_1": "17929 Hunting Bow Cir",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335585378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.