Audrey Monica Abend
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Durham, NC
NPI 1275337669 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1275337669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2301 Erwin Rd
Durham, NC 27705-4699 - Phone
- (919) 684-8111
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604000039 | NC | Order and Referring Only - Otolaryngology |
5597274266 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27705-4699
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
NPI Registry JSON
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1275337669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEND",
"first_name": "AUDREY",
"middle_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Eboni A Abdus-Samad
- Moboluwade Duduyemi Abe - Lathan
- Natasha Abe
- Scott Abedi
- Irene G Abella
- Thomas Brent Aberant
- William S Abernathy
- Amy Abernethy
- Eli Rowe Abernethy
- Joseph Omalemigbo Abgateyiniro
All providers in Durham, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.