Active NPI
Devonna Giles Maguet, APRN
- Family Nurse Practitioner
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3003233
- Practice address
- 40 Moonbow PLZ Ste 1
Corbin, KY 40701-8983 - Phone
- (606) 215-3488
- Fax
- (606) 280-4015
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3003233 | KY | Primary |
Addresses
Primary practice location
40 Moonbow PLZ Ste 1
Corbin, KY 40701-8983
Mailing address
219 Woodchase LN
Corbin, KY 40701-8112
Phone (606) 521-5159
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K103140 | Other | KY | MEDICARE |
| 7100301900 | Medicaid | KY | |
| 00259 | Other | KY | MEDICARE PTAN ASSOCIATED WITH OFFICE NPI NUMBER 1386781789 |
Other names 1
- Devonna Giles Durham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130819000658 | KY | Practitioner - Nurse Practitioner | 8527200625 | Practice locations: Corbin, KY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003233 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maguet Medical Center LLC | Family | Current | Accepting new patients |
Locations
40 Moonbow Plz
Ste 1
Corbin, KY 40701
Phone (606) 215-3488
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Maguet Medical Center LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer Operational/Managerial Control |
Feb 21, 2022 Feb 21, 2022 Feb 21, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1164158937
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648339200000",
"number": "1992066559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 WOODCHASE LN",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018112",
"telephone_number": "606-521-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MOONBOW PLZ STE 1",
"city": "CORBIN",
"state": "KY",
"postal_code": "407018983",
"telephone_number": "606-215-3488",
"fax_number": "606-280-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUET",
"first_name": "DEVONNA",
"middle_name": "GILES",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2022-03-27",
"certification_date": "2022-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3003233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K103140",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100301900",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN ASSOCIATED WITH OFFICE NPI NUMBER 1386781789",
"identifier": "00259",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEVONNA",
"last_name": "DURHAM",
"middle_name": "GILES",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.