Individual provider Active NPI

Jude B Harrison, MD

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1154451383
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25842 Issued in CO
Practice address
115 Conejo PL
Durango, CO 81301-5846
Phone
(970) 247-3229
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25842 CO Primary

Addresses

Primary practice location

115 Conejo PL
Durango, CO 81301-5846

Mailing address

115 Conejo PL
Durango, CO 81301-5846
Phone (970) 247-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000467 CO Practitioner - Family Practice 4486683448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25842COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Plata Family Medicine Assoc PC Family Medicine CurrentSince Jan 1, 1992 Accepting new patients

Locations

3235 Main Ave
Durango, CO 81301
Phone (970) 259-3020

316 Sawyer Dr
Durango, CO 81303
Phone (970) 259-3110

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1154451383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONEJO PL",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015846",
            "telephone_number": "970-247-3229",
            "fax_number": "970-259-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CONEJO PL",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015846",
            "telephone_number": "970-247-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JUDE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.