Healthcare Provider Details

I. General information

NPI: 1881090082
Provider Name (Legal Business Name): DEVIN LEE BARRAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEVIN LEE BURGHART-MARTIN

II. Dates (important events)

Enumeration Date: 11/15/2014
Last Update Date: 07/30/2022
Certification Date: 07/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SW GAGE BLVD BLDG 1
TOPEKA KS
66622-3714
US

IV. Provider business mailing address

2200 SW GAGE BLVD BLDG 1
TOPEKA KS
66622-3714
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-3111
  • Fax:
Mailing address:
  • Phone: 785-350-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number81154
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number142713
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: