Tracina S Devault

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

171322.MEDS-IV Issued in OH

Practice address

4828 Village LN
Toledo, OH 43614-1847

Phone

(419) 277-6098

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1891378212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 VILLAGE LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141847",
            "telephone_number": "419-277-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 VILLAGE LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141847",
            "telephone_number": "419-277-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAULT",
        "first_name": "TRACINA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "171322.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Deutschman
• Santosh Dev, MD
• Rachel Devarajulu
• Latoya Devaughn
• Tonya Devaul, CNP
• Tyrell Twone Devault
• Daniel A Devito, PHARMD, R.PH.
• Kerri Devol
• Brent C Devries, DO
• Erica Devries, MD

• Licensed Practical Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.