Individual provider Active NPI

Lisa Lyn Devins, PHLEBOTOMIST

  • Phlebology Physician
  • Merritt Island, FL
National Provider Identifier
1770156788
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
Q8A8S6M3 Issued in FL
Practice address
640 High Point CT
Merritt Island, FL 32952-4177
Phone
(321) 506-6621
NPI assigned
Jul 19, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X Q8A8S6M3 FL Primary

Addresses

Primary practice location

640 High Point CT
Merritt Island, FL 32952-4177

Mailing address

640 High Point CT
Merritt Island, FL 32952-4177
Phone (321) 506-6621

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
Q8A8S6M3FLMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jahbless Phlebotomy Services LLC CurrentSince Aug 28, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1770156788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HIGH POINT CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524177",
            "telephone_number": "321-506-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGH POINT CT",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524177",
            "telephone_number": "321-506-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINS",
        "first_name": "LISA",
        "middle_name": "LYN",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "Q8A8S6M3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.