Devonn Dillard

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP-144701 Issued in TX

Practice address

2620 Gus Thomasson Rd Ste 102
Mesquite, TX 75150-5417

Phone

(469) 730-0044

Fax

(469) 730-0046

NPI assigned

Dec 7, 2015

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Texas Behavioral Health AuthorityGroup PAC ID 2769804350, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Southern Area Behavioral Healthcare LLC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1396973772
  Medicare reassignment NPD
• North Texas Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1407488463

  Registered Nurse

  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1740655406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 GUS THOMASSON RD STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505417",
            "telephone_number": "469-730-0044",
            "fax_number": "469-730-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 GUS THOMASSON RD STE 102",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505417",
            "telephone_number": "469-730-0044",
            "fax_number": "469-730-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "DEVONN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP-144701",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "633233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Delane Dickerson, M.D.
• Kimberly K. Dickson, RD, CDE
• Chikezie Aloysius Dike, FNP-C
• Curtis Dill
• Donald Dillahunty, DO
• Falin Dillard
• Jeanette Dillow, RN, ANP-BC
• Tori Dismuke Eudy, LPC
• Divine Injury Clinic & Rehab, P.C.
• Divine Mercy Housecalls, LLC

• Psychiatric/Mental Health Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.