Individual provider Active NPI

Kathy McCormick Devine, ARNP

  • Advanced Practice Midwife
  • Iowa City, IA
National Provider Identifier
1508046269
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B109663 Issued in IA
Practice address
221 E College St
Suite 211
Iowa City, IA 52240-1699
Phone
(319) 337-3313
Fax
(319) 337-0686
NPI assigned
Nov 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X B109663 IA Primary

Addresses

Primary practice location

221 E College St
Suite 211
Iowa City, IA 52240-1699

Mailing address

221 E College St
Suite 211
Iowa City, IA 52240-1699
Phone (319) 337-3313

Other names 1

  • Kathleen McCormick-Deol Former name

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
B109663IAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1508046269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E COLLEGE ST",
            "address_2": "SUITE 211",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401699",
            "telephone_number": "319-337-3313",
            "fax_number": "319-337-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E COLLEGE ST",
            "address_2": "SUITE 211",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522401699",
            "telephone_number": "319-337-3313",
            "fax_number": "319-337-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "KATHY",
        "middle_name": "MCCORMICK",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B109663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MCCORMICK-DEOL",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.