Active NPI
Brita Lynn Duval
- Specialist
- New Rockford, ND
National Provider Identifier
1053555680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 201411
- Practice address
- 220 8TH St N
New Rockford, ND 58356-1509 - Phone
- (701) 866-6060
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 201411 | MN | Primary |
Addresses
Primary practice location
220 8TH St N
New Rockford, ND 58356-1509
Mailing address
220 8TH St N
New Rockford, ND 58356-1509
Phone (701) 866-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201411 | MN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1053555680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 8TH ST N",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583561509",
"telephone_number": "701-866-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 8TH ST N",
"city": "NEW ROCKFORD",
"state": "ND",
"postal_code": "583561509",
"telephone_number": "701-866-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVAL",
"first_name": "BRITA",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "201411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rockford, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.