Ricardo Duarte, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

235160 Issued in AZ

Practice address

6911 N Bdi Blvd
Douglas, AZ 85607-6202

Phone

(520) 364-7521

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ricardo.duarte.1@11625.direct.athenahealth.com

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.

• Akdhc, LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1316902208

  AZ

  Medicare reassignment Care Compare group NPD
• Akdhc Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1346469731
  NPD
• Akdhc, LLC

  • Nephrology Physician
  • Bullhead City, AZ
  • NPI 1487140539
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1104466424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182396",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 N BDI BLVD",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856076202",
            "telephone_number": "520-364-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "AZ",
            "postal_code": "856072859",
            "country_code": "US",
            "telephone_number": "520-585-4741",
            "fax_number": "520-335-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "RICARDO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "235160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Pharmacy, LLC
• Douglas Primary Eye Care PC
• Douglas Unified School District
• Douglas Unified School District
• Douglas Unified School District #27
• Gustavo Durazo Jr., DNP
• Sarah Rose Earnest, P.T.
• Panayiotis A Ellinas II, MD, MPH
• Amanda Lane Endres, RN
• Elizabeth Fabry, ANP

• All providers in Douglas, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.