Individual provider Active NPI

Kathleen Nellie Devejian, FNP-BC, APRN

  • Primary Care Nurse Practitioner
  • Hampstead, NH
National Provider Identifier
1528579257
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN203026 Issued in MA
Practice address
207 Stage Road, PO Box 458,
Hampstead, NH 03841
Phone
(603) 329-5222
Fax
(888) 927-0461
NPI assigned
Oct 20, 2017
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN203026 MA Primary

Addresses

Primary practice location

207 Stage Road, PO Box 458,
Hampstead, NH 03841

Mailing address

207 Stage Road, PO Box 458,
Hampstead, NH 03841
Phone (603) 329-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302001778 NH Practitioner - Nurse Practitioner 0648532499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Hampstead Family Medicine IncGroup PAC ID 4284734351, 30 clinicians

Practice addresses (Care Compare)

159 N Broadway
Salem, NH 03079-2127
Phone (603) 893-4119

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hampstead Family Medicine, Inc. Multi-Specialty CurrentSince Feb 1, 2023 Accepting new patients

Locations

55 Bridge St
Manchester, NH 03101

159 N Broadway
Salem, NH 03079
Phone (603) 893-4119

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1528579257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STAGE ROAD, PO BOX 458,",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "03841",
            "telephone_number": "603-329-5222",
            "fax_number": "888-927-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STAGE ROAD, PO BOX 458,",
            "city": "HAMPSTEAD",
            "state": "NH",
            "postal_code": "03841",
            "telephone_number": "603-329-5222",
            "fax_number": "888-927-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEJIAN",
        "first_name": "KATHLEEN",
        "middle_name": "NELLIE",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN203026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NH

Sources for this page

Verify at the official NPI Registry.