Active NPI
Kawania McDuffie
- Clinical Medical Laboratory
- Durham, NC
National Provider Identifier
1285367128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 34D2282409
- Practice address
- 1308 Bent Willow Dr
Durham, NC 27704-1969 - Phone
- (919) 638-5550
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | NC | ||
| Clinical Medical Laboratory | 291U00000X | 34D2282409 | NC | Primary |
Addresses
Primary practice location
1308 Bent Willow Dr
Durham, NC 27704-1969
Mailing address
1308 Bent Willow Dr
Durham, NC 27704-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34D2282409 | NC | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enveina Service Center LLC | Phlebotomy | Current | Accepting new patients |
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.
-
- Phlebotomy Technician
- Durham, NC
- NPI 1053022509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1285367128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 BENT WILLOW DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 BENT WILLOW DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041969",
"telephone_number": "919-638-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFIE",
"first_name": "KAWANIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": "34D2282409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Bridgette McDougal, MS, OTR/L
- Roger Alexander McDougal, D.D.S., M.S.
- Kerrith McDowell, AGPCNP-BC
- Susan Grams Robison McDuff, MD, PHD
- Jamel N McDuffie-Watson, DDS
- Kara Alina May McElligott Park, MD, MPH
- Gregory Scott McElroy, MD/PHD
- John Duncan McEwen, M.D.
- Lisette Robson McEwen, P.T.
- Tiffany Yates McEwen, MSN, AGNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.