Individual provider Active NPI

Liya Bitsuan Lakew, ACUTE CARE NP

  • Acute Care Nurse Practitioner
  • Durham, NC
National Provider Identifier
1417610379
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5015219 Issued in NC
Practice address
Duke Medicine Pavilion
Durham, NC 27710-3006
Phone
(919) 681-3421
Fax
(919) 681-1473
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5015219 NC Primary

Addresses

Primary practice location

Duke Medicine Pavilion
Durham, NC 27710-3006

Mailing address

Duke University Medical Center 3677
Durham, NC 27710-0001
Phone (919) 681-3421

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
I20220216000463 NC Practitioner - Nurse Practitioner 6608269683 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 6, 2021 Accepting new patients
Duke Health Integrated Practice, Inc CurrentSince Jul 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 6, 2021 Accepting new patients
Duke University Health System, Inc. Pulmonary Disease Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

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

3400 Wake Forest Rd
Ste 310
Raleigh, NC 27609

Interoperability endpoints

  • Direct secure messaging: llakew73730@direct.medicine.duke.edu

Organizations & group practices 5

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1417610379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUKE UNIVERSITY MEDICAL CENTER 3677",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-681-3421",
            "fax_number": "919-681-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUKE MEDICINE PAVILION",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103006",
            "telephone_number": "919-681-3421",
            "fax_number": "919-681-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKEW",
        "first_name": "LIYA",
        "middle_name": "BITSUAN",
        "credential": "ACUTE CARE  NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5015219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.