Active NPI
Liam Christopher Devlin, FNP
- Family Nurse Practitioner
- Sand Point, AK
National Provider Identifier
1497815609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 144
- Practice address
- 172 Main St.
Sand Point, AK 99661 - Phone
- (907) 383-3151
- Fax
- (907) 383-6074
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 144 | AK | Primary |
Addresses
Primary practice location
172 Main St.
Sand Point, AK 99661
Mailing address
1200 W 45TH Ave
Anchorage, AK 99503-6902
Phone (907) 277-1440
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL 9107 | Medicaid | AK | |
| CL 1391 | Medicaid | AK | |
| CL 6515 | Medicaid | AK | |
| CL 9171 | Medicaid | AK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 144 | AK | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Worker
- Sand Point, AK
- NPI 1033292693
-
- Clinic/Center
- Sand Point, AK
- NPI 1346662608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1497815609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W 45TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995036902",
"telephone_number": "907-277-1440",
"fax_number": "907-277-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 MAIN ST.",
"city": "SAND POINT",
"state": "AK",
"postal_code": "99661",
"telephone_number": "907-383-3151",
"fax_number": "907-383-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "LIAM",
"middle_name": "CHRISTOPHER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CL 9107",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CL 1391",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CL 6515",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CL 9171",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sand Point, AK
Sources for this page
- 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.