Devin Stark, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP138017 Issued in TX

Practice address

2200 N Bryan Ave
Lamesa, TX 79331-2451

Phone

(806) 872-2183

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1851877823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 126TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231990",
            "telephone_number": "214-460-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N BRYAN AVE",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793312451",
            "telephone_number": "806-872-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "DEVIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Plains Public Health District
• South Plains Rural Health Services Inc (Lamesa Primary Clinic Pharmacy)
• South Plains Rural Health Services, Inc. (South Plains Dental Lamesa)
• South Plains Rural Health Services, Inc. (Lamesa Primary Care Clinic)
• South Plains Rural Health Services, Inc. (Howard County Community Health Center)
• Stratford Hospital District (Focused Care at Lamesa)
• Tricare Medical Equipment
• Robbie Adams Tutunjian, APRN-CNP
• Van Moore OD and David R. Gibson OD (Drs. Armistead, Moore and Gibson)
• John Jeremy Villarreal

• Family Nurse Practitioner in Lamesa, TX
• Providers in Lamesa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.

Verify at the official NPI Registry.