Individual provider Active NPI

Leslie Matthews Durum, WHNP

  • Women's Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1174359574
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R192386 Issued in MD
Practice address
100 West Rd Ste 404
Towson, MD 21204-2368
Phone
(410) 832-5511
Fax
(410) 832-5560
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X R192386 MD Primary

Addresses

Primary practice location

100 West Rd Ste 404
Towson, MD 21204-2368

Mailing address

100 West Rd Ste 404
Towson, MD 21204-2368
Phone (410) 832-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20241119004191 MD Practitioner - Nurse Practitioner 3072048685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

100 W Rd
Suite 404
Towson, MD 21204-2368
Phone (410) 832-5511

5 Park Ctr CT
Suite 303
Owings Mills, MD 21117-4203
Phone (410) 356-2935

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Single Specialty Current Accepting new patients
Capital Women'S Care, L.L.C. Single Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

100 West Rd
Ste 404
Towson, MD 21204
Phone (410) 832-5511

Interoperability endpoints

  • Direct secure messaging: leslie.durum.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 2

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1174359574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 404",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042368",
            "telephone_number": "410-832-5511",
            "fax_number": "410-832-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 404",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042368",
            "telephone_number": "410-832-5511",
            "fax_number": "410-832-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURUM",
        "first_name": "LESLIE",
        "middle_name": "MATTHEWS",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R192386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.