LISA DEVINENI CRNP - NPI 1003811175 - Nurse Practitioner in Johnstown, PA

Q: What is Lisa Devineni's NPI number?

The NPI number for Lisa Devineni is 1003811175. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Lisa Devineni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Devineni was last updated on October 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Devineni Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DEVINENI CRNP (NPI 1003811175) is an individual nurse practitioner in Johnstown, Pennsylvania, licensed in Pennsylvania (VP004823B) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003811175

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA DEVINENICredential: CRNP

Location Address315 LOCUST ST, 2ND FLOORJohnstown, PA 15901-1651

Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331

Phone(814) 534-6750

Fax(814) 534-6760

Sole ProprietorNo

Enumeration DateJune 16, 2005

Last NPPES UpdateOctober 17, 2014

✔ NPI 1003811175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · VP004823B

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

315 LOCUST ST, Johnstown, PA 15901

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