Individual provider Active NPI

Devonna Giles Maguet, APRN

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1992066559
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3003233 Issued in KY
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

Updated by the provider on Mar 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
K103140OtherKYMEDICARE
7100301900MedicaidKY
00259OtherKYMEDICARE PTAN ASSOCIATED WITH OFFICE NPI NUMBER 1386781789

Other names 1

  • Devonna Giles Durham Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3003233KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maguet Medical Center LLC Family CurrentSince Feb 21, 2022 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.

FacilityTypeRoleSince
Maguet Medical Center LLCCorbin, KY, CCN B03920 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.

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

Verify at the official NPI Registry.