Individual provider Active NPI

Laura Margaret Duke

  • Pediatric Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1043610355
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP7285 Issued in AZ
Practice address
7800 N 55TH Ave
Suite 106
Glendale, AZ 85301-1321
Phone
(623) 931-5001
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP7285 AZ Primary

Addresses

Primary practice location

7800 N 55TH Ave
Suite 106
Glendale, AZ 85301-1321

Mailing address

7800 N 55TH Ave
Suite 106
Glendale, AZ 85301-1321
Phone (623) 931-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160404000102 DC Practitioner - Nurse Practitioner 2860799038 Reassigns benefits to 1 organization
I20160518002527 VA Practitioner - Nurse Practitioner 2860799038 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7285AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Mar 1, 2016 Accepting new patients
Kidmed Inc. Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2016 Accepting new patients
Pediatrics, Inc Pediatrics Past Accepting new patients
Pediatrics, Inc. Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4687 Pouncey Tract Rd
Glen Allen, VA 23059
Phone (804) 422-5437

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8356 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 559-5437

5021 Craig Rath Blvd
Bldg Iv
Midlothian, VA 23112
Phone (804) 422-5437

20 Doc Stone Rd
Stafford, VA 22556
Phone (540) 602-7766

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • Direct secure messaging: lauraduke@kidmed.allscriptsdirect.net

Organizations & group practices 6

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": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1043610355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N 55TH AVE",
            "address_2": "SUITE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011321",
            "telephone_number": "623-931-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N 55TH AVE",
            "address_2": "SUITE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011321",
            "telephone_number": "623-931-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "LAURA",
        "middle_name": "MARGARET",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.