Active NPI
Paula Lewis Devitt, RNCDE
- Diabetes Educator Registered Nurse
- Santa Fe, NM
National Provider Identifier
1871581884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- R24250
- Practice address
- 465 Saint Michaels Dr
Suite 115
Santa Fe, NM 87505-7670 - Phone
- (505) 946-4307
- Fax
- (505) 946-4308
- NPI assigned
- Oct 12, 2005
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | R24250 | NM | Primary |
Addresses
Primary practice location
465 Saint Michaels Dr
Suite 115
Santa Fe, NM 87505-7670
Mailing address
455 Saint Michaels Dr
Medical Staff Office
Santa Fe, NM 87505-7601
Phone (505) 820-5227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM006293 | Other | NM | BCBS OF NEW MEXICO |
| PROVP12386 | Other | NM | HEALTH INSURANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R24250 | NM | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1871581884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SAINT MICHAELS DR",
"address_2": "MEDICAL STAFF OFFICE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057601",
"telephone_number": "505-820-5227",
"fax_number": "505-820-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 SAINT MICHAELS DR",
"address_2": "SUITE 115",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057670",
"telephone_number": "505-946-4307",
"fax_number": "505-946-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITT",
"first_name": "PAULA",
"middle_name": "LEWIS",
"credential": "RNCDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NM",
"license": "R24250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEW MEXICO",
"identifier": "NM006293",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH INSURANCE",
"identifier": "PROVP12386",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.