Individual provider Active NPI

Tracy Ann Devitt, ARNP

  • Family Nurse Practitioner
  • Ponte Vedra, FL
National Provider Identifier
1659617280
Registry record updated Jan 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9369018 Issued in FL
Practice address
152 Front St
Ponte Vedra, FL 32082-3058
Phone
(781) 589-8603
NPI assigned
Jan 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9369018 FL Primary
Family Nurse Practitioner 363LF0000X RN2271523 MA

Addresses

Primary practice location

152 Front St
Ponte Vedra, FL 32082-3058

Mailing address

3737 Saint Johns Bluff Rd S
Apt 1616
Jacksonville, FL 32224-2652
Phone (781) 589-8603

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

NPI Registry JSON

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

{
    "created_epoch": "1356998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390003200000",
    "number": "1659617280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 SAINT JOHNS BLUFF RD S",
            "address_2": "APT 1616",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242652",
            "telephone_number": "781-589-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 FRONT ST",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823058",
            "telephone_number": "781-589-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITT",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-01",
        "last_updated": "2014-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9369018",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2271523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.