Individual provider Active NPI

Anne Lynn Derouin, R.N.

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1417031246
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
300271 Issued in NC
Practice address
2100 Erwin Rd
Duke Univ Med Center
Durham, NC 27710
Phone
(919) 620-4467
NPI assigned
Oct 25, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 300271 NC Primary

Addresses

Primary practice location

2100 Erwin Rd
Duke Univ Med Center
Durham, NC 27710

Mailing address

Southern High Health Clinic
800 Clayton Road
Durham, NC 27703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Health Center Incorporated CurrentSince Aug 24, 2023 Accepting new patients
Lincoln Community Health Center Incorporated CurrentSince Aug 24, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Nov 18, 2023 Accepting new patients

Locations

1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

3727 Fayetteville St
Durham, NC 27707
Phone (919) 956-4519

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

800 Clayton Rd
Durham, NC 27703
Phone (919) 560-2536

815 Broad St
Durham, NC 27705
Phone (919) 416-1254

Interoperability endpoints

  • Direct secure messaging: aderouin58635@direct.medicine.duke.edu

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1417031246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTHERN HIGH HEALTH CLINIC",
            "address_2": "800 CLAYTON ROAD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ERWIN RD",
            "address_2": "DUKE UNIV MED CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-620-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUIN",
        "first_name": "ANNE",
        "middle_name": "LYNN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "300271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.