Individual provider Active NPI

Devin Diane Hartley

  • Family Nurse Practitioner
  • Parrish, FL
National Provider Identifier
1740006170
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036619 Issued in FL
Practice address
12271 US Highway 301 N
Parrish, FL 34219-8410
Phone
(941) 776-4050
Fax
(941) 775-4057
NPI assigned
Dec 2, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11036619 FL Primary

Addresses

Primary practice location

12271 US Highway 301 N
Parrish, FL 34219-8410

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

3914 E State Road 64
Bradenton, FL 34208-9059
Phone (941) 216-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212003895 FL Practitioner - Nurse Practitioner 0244766251 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Senior Healthcare IncGroup PAC ID 3678840600, 7 clinicians

Practice addresses (Care Compare)

1300 59TH St W
Bradenton, FL 34209-4603
Phone (941) 216-1455

1414 69TH Ave W
Bradenton, FL 34207-5850
Phone (941) 867-9500

1725 Manatee Ave W
Bradenton, FL 34205-5924
Phone (941) 746-5226

2614 43Rd St W
Bradenton, FL 34209-6212
Phone (941) 357-2582

3503 14TH St W
Bradenton, FL 34205-6290
Phone (941) 201-6055

3914 E State Rd
Suite 64
Bradenton, FL 34208-9059
Phone (941) 216-3800

5612 26TH St W
Bradenton, FL 34207-3515
Phone (941) 381-8307

5750 Honore Ave
Sarasota, FL 34233-3249
Phone (941) 210-0988

6101 Pointe W Blvd
Bradenton, FL 34209-5534
Phone (941) 795-5533

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 224-3850

8220 Natures Way
Lakewood Ranch, FL 34202-4204
Phone (941) 278-4330

8230 Natures Way
Lakewood Ranch, FL 34202-4204
Phone (941) 907-9177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11036619FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Nov 11, 2024 Accepting new patients
MCR Health, Inc. Family CurrentSince Dec 26, 2024 Accepting new patients
Coastal Senior Healthcare Inc CurrentSince Sep 23, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Dec 26, 2024 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

3914 E State Road 64
Bradenton, FL 34208
Phone (860) 250-4522

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Interoperability endpoints

  • Direct secure messaging: devin.hartley.1@11352.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1740006170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 US HIGHWAY 301 N",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198410",
            "telephone_number": "941-776-4050",
            "fax_number": "941-775-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3914 E State Road 64",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342089059",
            "country_code": "US",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "DEVIN",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parrish, FL

Sources for this page

Verify at the official NPI Registry.