Active NPI
Devalben Amin
- Family Nurse Practitioner
- Fayetteville, NC
National Provider Identifier
1821561432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10171218
- Practice address
- 2760 Creek Meadows PL Apt 71
Fayetteville, NC 28304-3480 - Phone
- (732) 648-7666
- NPI assigned
- Jan 7, 2019
- Last updated
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10171218 | NJ | Primary |
Addresses
Primary practice location
2760 Creek Meadows PL Apt 71
Fayetteville, NC 28304-3480
Mailing address
2760 Creek Meadows PL Apt 71
Fayetteville, NC 28304-3480
Phone (732) 648-7666
Other names 1
- Devalben Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808001943 | NJ | Order and Referring Only - Nurse Practitioner | 0345589008 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10171218 | NJ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1821561432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 CREEK MEADOWS PL APT 71",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043480",
"telephone_number": "732-648-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 CREEK MEADOWS PL APT 71",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043480",
"telephone_number": "732-648-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "DEVALBEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "F10171218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEVALBEN",
"last_name": "PATEL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, NC
- American Chiropractic Care (Schultz Chiropractic Center)
- American Current Care of North Carolina PC
- American Eye Care Optometric Centers PA
- American Optimal Health
- Ariel Jane Amerson, RDMS
- Mitul Arvind Amin, DDS
- Shray Amin, MD
- Bala Ammisetti, MD
- Dwayne McPherson Ammons
- Teresa Taylor Ammons, MS,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.