Active NPI
Adrianne Alecia Deveira, M.D.
- Family Medicine Physician
- Lexington, KY
National Provider Identifier
1356652556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52228
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190926003443 | KY | Order and Referring Only - Preventive Medicine | 9638409097 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME136558 | FL | MD | Family Medicine Physician |
| 52228 | KY | MD | Family Medicine Physician |
| 0101250590 | VA | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.