Individual provider Active NPI

Catherine Andrea Lupa, NP

  • Women's Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1346871639
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
259873 Issued in NC
Practice address
414 E Main St
Durham, NC 27701-3720
Phone
(919) 560-7600
NPI assigned
Jan 27, 2020
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 259873 NC Primary

Addresses

Primary practice location

414 E Main St
Durham, NC 27701-3720

Mailing address

414 E Main St
Durham, NC 27701-3720
Phone (919) 560-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621000370 NC Practitioner - Nurse Practitioner 3779962857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
259873NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Durham Finance Dept CurrentSince Jan 5, 2022 Accepting new patients
County of Durham Finance Dept CurrentSince Jan 5, 2022 Accepting new patients

Locations

414 E Main St
Durham, NC 27701
Phone (919) 560-7600

Interoperability endpoints

  • Direct secure messaging: ccahn139253@direct.unc.nchie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1346871639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013720",
            "telephone_number": "919-560-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013720",
            "telephone_number": "919-560-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPA",
        "first_name": "CATHERINE",
        "middle_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "259873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.