Martha Jean Devernoe, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN3311102 Issued in FL

Practice address

9102 Kingston Rd
Bradenton, FL 34210-2244

Phone

(941) 761-2393

Fax

(941) 761-2393

NPI assigned

Jan 28, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467508655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 KINGSTON RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102244",
            "telephone_number": "941-761-2393",
            "fax_number": "941-761-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9102 KINGSTON RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102244",
            "telephone_number": "941-761-2393",
            "fax_number": "941-761-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERNOE",
        "first_name": "MARTHA",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "FL",
            "license": "RN3311102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Garcia Desousa, M.D.
• Brittany Detert
• Yeni Detrinidad
• Edwin Detweiler III, O.D.
• Micaela Devane
• Taylor Victoria Devinney, APRN
• Jared Devirgilis, PA-C
• Vivek Kanwal Dewan
• Tamela C Deweese-Giddings, MA, BCBA
• Dialysis 2U LLC

• Pediatric Registered Nurse in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pediatric Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.