Devlin Ann Wiest, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

851 University Ave Apt 320
Grand Forks, ND 58203-3567

Phone

(612) 715-2706

NPI assigned

Apr 3, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1639708530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 UNIVERSITY AVE APT 320",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033567",
            "telephone_number": "612-715-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 UNIVERSITY AVE APT 320",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033567",
            "telephone_number": "612-715-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEST",
        "first_name": "DEVLIN",
        "middle_name": "ANN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Raye Wichmann, PA-C
• Sharon P Wick, CRNA
• Erica Wiechert
• Erica L Wiegandt, O.D.
• Mary D Wiersma, RN
• Aaron Jakob Wiger, PA-C, MPAS
• Keminda Wijesundera, M.D.
• Gayathri Wijetunga
• Mevan Nandaka Wijetunga, MD
• Jacqueline J Wilkie

• Athletic Trainer in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.