Active NPI
Anne Lynn Derouin, R.N.
- Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 300271
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Community Health Center Incorporated | Current | Accepting new patients | |
| Lincoln Community Health Center Incorporated | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | 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
- 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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
dba Lakewood Clinic
- Federally Qualified Health Center (FQHC)
- Durham, NC
- NPI 1114614518
-
- Federally Qualified Health Center (FQHC)
- Durham, NC
- NPI 1114978582
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.