Active NPI
Lauren Duffy Pmhnp
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1033700505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LAUREN DUFFY PMHNP
- Practice address
- 2311 Canterwood Dr
Wilmington, NC 28401-7300 - Phone
- (910) 763-0189
- NPI assigned
- Jan 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren T Duffy, NP
- Title
- Owner
- Phone
- (803) 767-8945
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2311 Canterwood Dr
Wilmington, NC 28401-7300
Mailing address
2311 Canterwood Dr
Wilmington, NC 28401-7300
Phone (910) 763-0189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, NC
- NPI 1346874898
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611792000000",
"number": "1033700505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 CANTERWOOD DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017300",
"telephone_number": "910-763-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 CANTERWOOD DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017300",
"telephone_number": "910-763-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREN DUFFY PMHNP",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "DUFFY",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-767-8945",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.