Active NPI
Devry Garity, CPNP
- Pediatric Nurse Practitioner
- Homer, AK
National Provider Identifier
1649206186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 651
- Practice address
- 4136 Bartlett St
Homer, AK 99603-7001 - Phone
- (907) 235-8586
- Fax
- (907) 235-6639
- NPI assigned
- Jun 25, 2006
- Last updated
- May 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 651 | AK | Primary |
Addresses
Primary practice location
4136 Bartlett St
Homer, AK 99603-7001
Mailing address
961 S Larkspur Cir
Homer, AK 99603-8219
Phone (406) 529-3728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4303210 | Medicaid | MT |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651 | AK | MD | Professional Counselor |
Interoperability endpoints
- devry.garity.1@14977.direct.athenahealth.com
- dgarity3866995@ak.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1649206186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 S LARKSPUR CIR",
"city": "HOMER",
"state": "AK",
"postal_code": "996038219",
"telephone_number": "406-529-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4136 BARTLETT ST",
"city": "HOMER",
"state": "AK",
"postal_code": "996037001",
"telephone_number": "907-235-8586",
"fax_number": "907-235-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARITY",
"first_name": "DEVRY",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AK",
"license": "651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4303210",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.