Renda Devine

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Practice address

400 S Drury St
Stillwater, OK 74074-8223

Phone

(405) 533-6350

NPI assigned

May 6, 2016

Sex

Female

Sole proprietor

Yes

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.

• Stillwater Public Schools

  • Local Education Agency (LEA)
  • Stillwater, OK
  • NPI 1639239767
  NPD (past)

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1578919734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S LEWIS ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740743500",
            "telephone_number": "405-533-6300",
            "fax_number": "405-533-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S DRURY ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740748223",
            "telephone_number": "405-533-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "RENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paige Deshazer
• Earl Jay Dethloff, REGISTERED NURSE
• Alex Norman Detwiler, D.O.
• Kelsey Detwiler
• Lindsay Detwiler
• Nicole Juliana Dewitt, M.S.
• Chanti J Diaz
• Sarah Dianne Dickerson
• Meleisha L Dickson, LPC
• Jo Alice Dobbs, RN

• Local Education Agency (LEA) in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Local Education Agency (LEA) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.