Individual provider Active NPI

Naomi Stewart Durham, APRN, CNP

  • Primary Care Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1033570635
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
LP-0000146 Issued in DE
Practice address
12 Reads Way
New Castle, DE 19720-1649
Phone
(302) 323-7142
Fax
(302) 323-7622
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X LP-0000146 DE Primary

Addresses

Primary practice location

12 Reads Way
New Castle, DE 19720-1649

Mailing address

12 Reads Way
New Castle, DE 19720-1649
Phone (302) 323-7142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000199 DE Practitioner - Nurse Practitioner 0648565564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LP-0000146DEMDPrimary Care Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1033570635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 READS WAY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201649",
            "telephone_number": "302-323-7142",
            "fax_number": "302-323-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 READS WAY",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201649",
            "telephone_number": "302-323-7142",
            "fax_number": "302-323-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART DURHAM",
        "first_name": "NAOMI",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP-0000146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.