Shannon Leigh Devita, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95002761 Issued in CA

Practice address

975 Garnet Ave
San Diego, CA 92109-2729

Phone

(858) 230-7770

NPI assigned

Nov 16, 2015

Last updated

Aug 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.devita@547750564069380.direct.elationemr.com

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.

• Joseph Moore, Inc

  • Urgent Care Clinic/Center
  • Coronado, CA
  • NPI 1588035968
  NPD

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1750755617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 EBERS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072236",
            "telephone_number": "908-399-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092729",
            "telephone_number": "858-230-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 W Broadway Ste 400",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921013554",
            "country_code": "US",
            "telephone_number": "858-268-2577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVITA",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP95002761",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Devers
• Anne M Devine, OD
• Kristina H Devine, FNP
• Maura Keely Devine, MD
• Sean M Devine
• Emily Devito
• Michael Anthony Devito
• Jenny J. Devitt, MD
• Marissa Devogelaere
• Susan Devol, M.A.S., A.T.,C.

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.