Jane Marie Devine, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R093167 Issued in MD

Practice address

211 Maryland Ave
Salisbury, MD 21801-5805

Phone

(410) 219-9111

NPI assigned

May 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Eastern Shore Pediatrics

  • Pediatrics Physician
  • Salisbury, MD
  • NPI 1063713295
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1508087388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MARYLAND AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015805",
            "telephone_number": "410-219-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARYLAND AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015805",
            "telephone_number": "410-219-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R093167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP PEDIATRICS",
            "identifier": "R093167",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Paige Derosa, LMSW
• Jed E. Derrickson, LCSW-C
• Brian M Desaulniers, MD
• Aushae Deshields
• Rene L Desmarais, M.D.
• Kathleen A Devine, MD
• Brynn Aine Devlin
• Jason Arcy Dew, PTA
• Rajat Dhand, MBBS
• Geeti Dhillon, MD

• Pediatric Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.