Beth A Devine, APRN
Individual provider Active NPI Family Nurse Practitioner · Providence, KY
NPI 1679670202 · NPPES record last updated Jul 14, 2015
Key facts
- NPI
- 1679670202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3004408 (KY)
- Practice address
- 215 East Main Street
Providence, KY 42450-1261 - Phone
- (270) 667-7017
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Care Affiliates, Inc
Practice addresses (Care Compare)
215 E Main St
Providence, KY 42450-1261
Phone (270) 667-7017
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041030000226 | KY | Practitioner - Nurse Practitioner | 7214999424 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4408P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Care Affiliates, Inc. | Current | Accepting new patients |
Locations
295 Main St
Calhoun, KY 42327
Phone (270) 273-9310
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
215 E Main St
#215
Providence, KY 42450
215 E Main St
Providence, KY 42450
Phone (270) 667-7017
Interoperability endpoints
- beth.devine@rhca.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4408P | KY | |
| Family Nurse Practitioner | 363LF0000X | 3004408 | KY | Yes |
Addresses
Primary practice location
215 East Main Street
Providence, KY 42450-1261
Mailing address
PO Box 9150
Regional Health Care Affiliates
Paducah, KY 42002-9150
Phone (270) 667-7017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4408P | Other | KY | LICENSE |
| 000000351079 | Other | BCBS PROVIDER NUMBER | |
| 78013083 | Medicaid | KY |
Other names
- Mrs. Beth A Pierce
Other providers in Providence, KY
- Kelly L Cole
- Jennifer J Collins
- Lori Michelle Conger
- Lou Clara Coulon
- Heather T. Davis
- Keri Beth Dunbar
- Jon Gregory Dunn
- Green River District Health Department
- Ernest Jay Gross
- Katie Hagan
All providers in Providence, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.