Levi Austin Destafano

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

1561 Grove Hill Rd
Auburn, AL 36830-7544

Phone

(308) 636-6686

NPI assigned

Nov 25, 2025

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Platte Valley Mobile Imaging LLC

  • Diagnostic Radiology Physician
  • North Platte, NE
  • NPI 1851196299
  NPD

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1497617815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 E FORT MCPHERSON RD",
            "city": "MAXWELL",
            "state": "NE",
            "postal_code": "691511032",
            "telephone_number": "308-636-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 GROVE HILL RD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307544",
            "telephone_number": "308-636-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTAFANO",
        "first_name": "LEVI",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Denham
• Elizabeth Brittany Dennis-Hancock, PHD, LPC
• Jack Andrew Dennis
• Michelle Leigh King Deramus, PH.D.
• Taylor Joseph Deruiter, PHARMD
• Sayantoni Dhar
• Casey Dickerson
• Terrand Dickey, LMSW
• Kavon Dionte Diggs
• Susan Dijulio, M.ED. , LPC

• Electroneurodiagnostic Specialist/Technologist in Auburn, AL
• Providers in Auburn, AL by specialty
• Electroneurodiagnostic Specialist/Technologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.