Individual provider Active NPI

Catherine I Devor, CRNA

  • Certified Registered Nurse Anesthetist
  • Bingham Farms, MI
National Provider Identifier
1326007410
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704166585 Issued in MI
Practice address
30200 Telegraph Rd
Ste 220
Bingham Farms, MI 48025-4502
Phone
(248) 258-5058
NPI assigned
Mar 20, 2006
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704166585 MI Primary

Addresses

Primary practice location

30200 Telegraph Rd
Ste 220
Bingham Farms, MI 48025-4502

Mailing address

750 E Beltline Ave NE Ste 201a
Grand Rapids, MI 49525-6046
Phone (616) 477-3623

Other identifiers 2

IdentifierTypeStateIssuer
4070863MedicaidMI
430F364420OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000590 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234135567 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2011 Accepting new patients
Anesthesia Professional Services PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Michigan Medical Anesthesia, .P,C, Past Accepting new patients
Cascade Ophthalmology PC Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

501 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-4800

750 E Beltline Ave NE
Ste 201
Grand Rapids, MI 49525
Phone (616) 940-3600

750 E Beltline Ave NE
Ste 201A
Grand Rapids, MI 49525
Phone (616) 942-6767

750 E Beltline Ave NE
Ste 203
Grand Rapids, MI 49525
Phone (616) 940-3600

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

5623 E Dunbar Rd
Monroe, MI 48161

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

26051 Lahser Rd
Southfield, MI 48033
Phone (248) 223-9925

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1326007410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BELTLINE AVE NE STE 201A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256046",
            "telephone_number": "616-477-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD",
            "address_2": "STE 220",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254502",
            "telephone_number": "248-258-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOR",
        "first_name": "CATHERINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704166585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4070863",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "430F364420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.