DEVAUGHN JERRON POLLARD NP NPI 1184064131

NPI Information

  • NPI: 1184064131
  • Provider Name: DEVAUGHN JERRON POLLARD, NP
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1906 BELLEVIEW AVE SE
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 981-7000

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NPI Details

Devaughn Jerron Pollard, NP is a nurse anesthetist certified registered in Roanoke, VA with 13 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Devaughn Jerron Pollard, NP NPI is 1184064131. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7000
Fax: (540) 853-0931

The NPI 1184064131 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 7/4/2013 and was last updated on 9/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care0024175543VIRGINIANo
2363LA2100XNurse PractitionerAcute Care4704246058MICHIGANNo
3363LA2100XNurse PractitionerAcute CareAPRN9438200FLORIDANo
4367500000XNurse Anesthetist, Certified Registered29077TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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