Eduardo Duran Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019016993 Issued in VA

Practice address

104 Production Dr
Yorktown, VA 23693-4024

Phone

(757) 528-3040

NPI assigned

Feb 12, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1225660772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ODD RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236622051",
            "telephone_number": "931-809-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PRODUCTION DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934024",
            "telephone_number": "757-528-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Sweeney Blvd.",
            "address_2": "Shellbank Fitness Center",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "23665",
            "country_code": "US",
            "telephone_number": "757-528-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Wythe Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Poquoson",
            "state": "VA",
            "postal_code": "236621926",
            "country_code": "US",
            "telephone_number": "757-528-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019016993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Dorr, RD
• Jadore Douglas, PHARMD
• Dr. Scott J. Golrich
• Dr.S Morgan and Booker L.C.
• Jacquelyn Sandra Drumov, MA,MA
• Rusty Rivera Duran, APRN-C, PMHNP-BC
• Louis John Durkac, MD
• Lillian Dye
• Tara Eadie
• Danielle Weinstein Earehart, OT

• Massage Therapist in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.