Carolyn Durham, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1335 Issued in CO

Practice address

611 N Nevada Ave
Suite 3
Colorado Springs, CO 80903-1099

Phone

(719) 229-9235

Fax

(719) 447-9262

NPI assigned

Nov 22, 2006

Last updated

Apr 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn Durham Inc

  • Specialist
  • Colorado Springs, CO
  • NPI 1396046496
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1215002167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N NEVADA AVE",
            "address_2": "SUITE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031099",
            "telephone_number": "719-229-9235",
            "fax_number": "719-447-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N NEVADA AVE",
            "address_2": "SUITE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031099",
            "telephone_number": "719-229-9235",
            "fax_number": "719-447-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "1335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO, DEPT OF REGULARTORY AGENCIES, DIVISION OF REGISTRATIONS",
            "identifier": "1335",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCTMB #",
            "identifier": "045617-00",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Durbin
• Craig H. Durck, M.D.
• Janelle Marie Durden
• Alvin Rick Durfey, BS
• Antionette Durham
• Mark Edward Durham, RMT
• Krystal Duron
• Catherine Elizabeth Durst, LPC
• Benjamin M Durtschi, AA
• Jessica Lynn Duru, D.D.S.

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.