Amanda G Durbin, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

RCP-4258 Issued in AR

Practice address

N7, Corner of Routes N12
Fort Defiance, AZ 86504

Phone

(928) 729-8000

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1336710367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 TOMPIRO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201377",
            "telephone_number": "870-378-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7, CORNER OF ROUTES N12",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 High St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022565",
            "country_code": "US",
            "telephone_number": "505-242-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "AR",
            "license": "RCP-4258",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AR",
            "license": "RCP-4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Bowman Drake, RN, BSN, MSN
• Reanna F Draper, RN
• Walter Drogosz, CRNA
• Jeffrey Alan Duncan, O.D.
• Roberta Marie Duncan, R.D.
• Connie M Ebach, NP
• Ebba K. Ebba, M.D
• Glen Allen Eisenhuth, DDS
• Henrietta Ekokobe
• Carole A. Eriacho, LMSW

• Registered Respiratory Therapist in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Registered Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.