Active NPI
Elizabeth Devine, RN
- General Practice Registered Nurse
- Amityville, NY
National Provider Identifier
1356858435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 261029-1
- Practice address
- 261 Grand Central Ave
Amityville, NY 11701-3708 - Phone
- (631) 559-7587
- NPI assigned
- Jan 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 261029-1 | NY | Primary |
Addresses
Primary practice location
261 Grand Central Ave
Amityville, NY 11701-3708
Mailing address
261 Grand Central Ave
Amityville, NY 11701-3708
Phone (631) 559-7587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FZ76667Y | Medicaid | NY |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261029-1 | NY | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1356858435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 GRAND CENTRAL AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013708",
"telephone_number": "631-559-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 GRAND CENTRAL AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117013708",
"telephone_number": "631-559-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVINE",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "261029-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FZ76667Y",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.