Individual provider Active NPI

Tracy Bishop Devany, ARNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1649258849
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168494 Issued in VA
Practice address
3745 Holland Rd
Virginia Beach, VA 23452-2847
Phone
(757) 962-8720
NPI assigned
Jan 6, 2006
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024168494 VA Primary
Family Nurse Practitioner 363LF0000X APRN 769 HI
Family Nurse Practitioner 363LF0000X ARNP 30006389 WA

Addresses

Primary practice location

3745 Holland Rd
Virginia Beach, VA 23452-2847

Mailing address

2709 Robin Dr
Virginia Beach, VA 23454-1813
Phone (757) 412-2709

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN 769HIMDFamily Nurse Practitioner
0024168494VAMDFamily Nurse Practitioner
ARNP 30006389WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chantilly Walk-in Clinic CurrentSince Jan 28, 2012 Accepting new patients
Lakeview Family Medicine, PLLC Past Accepting new patients

Locations

13037 Lee Jackson Hwy
Ste D
Fairfax, VA 22033
Phone (703) 631-0791

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1649258849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 ROBIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541813",
            "telephone_number": "757-412-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 HOLLAND RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522847",
            "telephone_number": "757-962-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP DEVANY",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168494",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 769",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP 30006389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.