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JOAN DEVITO R.D.,C.D.E.
NPI 1962549469
Dietitian, Registered in Lakeport, CA

Active since January 31, 2007
925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-5019 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joan Devito R.d.,c.d.e. NPPES

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

JOAN DEVITO R.D.,C.D.E. (NPI 1962549469) is an individual dietitian, registered in Lakeport, California and active in the NPI registry since January 2007. She maintains a secondary practice location in Clearlake and is a graduate of Other (1977).

NPPES Registry Identity

NPI1962549469
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJOAN DEVITOCredential: R.D.,C.D.E.
Location Address925 BEVINS CTLakeport, CA 95453-9754
Mailing Address925 Bevins CtLakeport, CA 95453-9754 · (707) 263-8382 · Fax (707) 263-5019
Phone(707) 263-8382
Fax(707) 263-5019
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1962549469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
925 BEVINS CT, Lakeport, CA 95453
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Secondary Practice Location 1

Location 114440 Olympic DrClearlake, CA 95422-8809 · Phone (707) 263-8382

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan Devito R.d.,c.d.e. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597803973
PECOS Enrollment IDI20091104000406

Medicare Billing Reassignment

Medicare enrollment records show Joan Devito reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake County Tribal Health Consortium Inc.
Same address
Federally Qualified Health Center (FQHC)
925 BEVINS CT
Lakeport, CA 95453
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1881697381 (707) 263-8382

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MERRILL FEATHERSTONE MFC
Counselor (Mental Health)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
NICOLE R MARTINEZ REGISTERED NURSE
Registered Nurse (General Practice)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
MRS. MARY LINNELL M.A.
Health Educator
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
CHRISTIAN KENSHIN JOB
Registered Nurse (Administrator)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
DR. MARLIN NOELIA DURAN DDS
Dentist
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8383
JEALENA C CASPERSON
Social Worker (Clinical)
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
YOLANDA SORTO CASTANON LMFT
Marriage & Family Therapist
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382
CHARISSA M BARSOS NP
Nurse Practitioner
925 BEVINS CT
LAKEPORT, CA 95453
Lake County (707) 263-8382

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 Joan Devito's NPI number?

The NPI number for Joan Devito is 1962549469. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Joan Devito located?

Joan Devito practices at 925 Bevins Ct, Lakeport, CA 95453. The listed phone number is (707) 263-8382.

What is Joan Devito's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Joan Devito enrolled in Medicare?

Yes. Joan Devito is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joan Devito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joan Devito reassigns Medicare benefits to Lake County Tribal Health Consortium Inc. (Lakeport, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joan Devito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joan Devito was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.