Individual provider Active NPI

Patricia Devery, LPN

  • Licensed Practical Nurse
  • Bedford Hills, NY
National Provider Identifier
1861617102
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2278101 Issued in NY
Practice address
208 Harris Rd
Lorraine Rossi
Bedford Hills, NY 10507
Phone
(914) 666-6854
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2278101 NY Primary

Addresses

Primary practice location

208 Harris Rd
Lorraine Rossi
Bedford Hills, NY 10507

Mailing address

PO Box 227
426 RT 6 N
Mahopac Falls, NY 10542
Phone (845) 621-2056

Other identifiers 1

IdentifierTypeStateIssuer
01632264MedicaidNY

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
2278101NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861617102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "address_2": "426 RT 6 N",
            "city": "MAHOPAC FALLS",
            "state": "NY",
            "postal_code": "10542",
            "telephone_number": "845-621-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HARRIS RD",
            "address_2": "LORRAINE ROSSI",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "10507",
            "telephone_number": "914-666-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERY",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2278101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01632264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.