Individual provider Active NPI

Adrianne Alecia Deveira, M.D.

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1356652556
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52228 Issued in KY
Practice address
3138 Custer Dr Ste 200
Lexington, KY 40517-4064
Phone
(859) 785-0400
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101250590 VA
Family Medicine Physician 207Q00000X ME136558 FL
Family Medicine Physician 207Q00000X 52228 KY Primary

Addresses

Primary practice location

3138 Custer Dr Ste 200
Lexington, KY 40517-4064

Mailing address

3138 Custer Dr Ste 200
Lexington, KY 40517-4064
Phone (859) 785-0400

Other practice location 1

620 John Paul Jones Cir
Internal Medicine
Portsmouth, VA 23708-2111
Phone (757) 953-3149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926003443 KY Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 9638409097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136558FLMDFamily Medicine Physician
52228KYMDFamily Medicine Physician
0101250590VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1356652556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 CUSTER DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174064",
            "telephone_number": "859-785-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 CUSTER DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174064",
            "telephone_number": "859-785-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_2": "Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-3149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVEIRA",
        "first_name": "ADRIANNE",
        "middle_name": "ALECIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101250590",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136558",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "52228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.