1. Home
  2. Directory
  3. New York
  4. Southampton
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DEVEN WACKETT MD
NPI 1457290397
Student in an Organized Health Care Education/Training Program in Southampton, NY

Active since March 26, 2026
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-0409 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deven Wackett Md NPPES

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

DEVEN WACKETT MD (NPI 1457290397) is an individual student in an organized health care education/training program in Southampton, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1457290397
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEVEN WACKETTCredential: MD
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address240 Meeting House LnSouthampton, NY 11968-5009
Phone(631) 726-0409
Sole ProprietorYes
Enumeration DateMarch 26, 2026
Last NPPES UpdateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1457290397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
240 MEETING HOUSE LN, Southampton, NY 11968
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KONSTADINOS J SPYRIS D.O.
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 560-3219
MICHAEL AMERES MD
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 537-0318
ANTHONY JOHN VACCHIO
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
KATELYN ANNE PIERSON MS,RD,CDN
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8233
RAMI AZZAM
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
CRYSTAL JOY
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8476
TEIAH MOORE D.O.
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
DR. RIDDHISH SHETH MD
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deven Wackett's NPI number?

The NPI number for Deven Wackett is 1457290397. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Deven Wackett located?

Deven Wackett practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-0409.

What is Deven Wackett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deven Wackett was last updated on March 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.