Individual provider Active NPI

Jane Joan Devries, PHARMD, RD, CDE

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1871824755
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003965 Issued in NC
Practice address
350 E Six Forks Rd
Raleigh, NC 27609-7879
Phone
(919) 832-1803
Fax
(919) 828-5265
NPI assigned
Jan 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 010364 MS
Pharmacist 183500000X 0202211262 VA
Pharmacist 183500000X 22323 NC
Registered Dietitian 133V00000X L003965 NC Primary

Addresses

Primary practice location

350 E Six Forks Rd
Raleigh, NC 27609-7879

Mailing address

1141 Blykeford LN
Wake Forest, NC 27587-8038
Phone (901) 299-4220

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
L003965NCMDRegistered Dietitian
010364MSMDPharmacist
22323NCMDPharmacist
0202211262VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1871824755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BLYKEFORD LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878038",
            "telephone_number": "901-299-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097879",
            "telephone_number": "919-832-1803",
            "fax_number": "919-828-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "JANE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-16",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "010364",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211262",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22323",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.