SUSAN L MCDEVITT NNP-BC NPI 1215097795

NPI Information

NPI: 1215097795
Provider Name: SUSAN L MCDEVITT, NNP-BC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8417
Get Directions

Susan L Mcdevitt, NNP-BC is a neonatal nurse practitioner in Portland, OR. Susan L Mcdevitt, NNP-BC NPI is 1215097795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-8417

The NPI 1215097795 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 enumeration date for this NPI number is 12/12/2006 and was last updated on 1/19/2015.

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
1	363LN0000X	Nurse Practitioner	Neonatal	2007025927	MISSOURI	No
2	363LN0000X	Nurse Practitioner	Neonatal	R1777183	MINNESOTA	No
3	363LN0000X	Nurse Practitioner	Neonatal	200350108NNP	OREGON	No
4	363LN0000X	Nurse Practitioner	Neonatal	AP60148500	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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