CLARE K DEVINE NPI 1518654482

NPI Information

  • NPI: 1518654482
  • Provider Name: CLARE K DEVINE
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 504 N STURGEON ST
    MONTGOMERY CITY, MO
    ZIP 63361
  • Phone: (573) 564-2990

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NPI Details

Clare K Devine is a medical physician assistant in Montgomery City, MO. Clare K Devine NPI is 1518654482. 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:

504 N STURGEON ST
MONTGOMERY CITY, MO
ZIP 63361-829
Phone: (573) 564-2990

The NPI 1518654482 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 4/20/2023 and was last updated on 11/25/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2363AM0700XPhysician AssistantMedical2024034186MISSOURIYes

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: 3/30/2025

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