Individual provider Active NPI

Rajesh Devkota, FNP

  • Family Nurse Practitioner
  • Fort George G Meade, MD
National Provider Identifier
1356796205
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009361 Issued in KY
Practice address
Usameddac
2480 Llewellyn Avenue
Fort George G Meade, MD 20755
Phone
(410) 278-5475
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3009361 KY
Family Nurse Practitioner 363LF0000X 3009361 KY Primary

Addresses

Primary practice location

Usameddac
2480 Llewellyn Avenue
Fort George G Meade, MD 20755

Mailing address

6455 Machine St
Aberdeen Proving Ground, MD 21005-5213
Phone (410) 278-7487

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
3009361KYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1356796205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 MACHINE ST",
            "city": "ABERDEEN PROVING GROUND",
            "state": "MD",
            "postal_code": "210055213",
            "telephone_number": "410-278-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USAMEDDAC",
            "address_2": "2480 LLEWELLYN AVENUE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "410-278-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVKOTA",
        "first_name": "RAJESH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3009361",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort George G Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.