Jenna Nichole Duffek, ATC, LAT

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

AT5282 Issued in TX

Practice address

1701 N Indiana Ave # 42220
Lubbock, TX 79409-9843

Phone

(806) 834-0465

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1437699238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 AUBURN ST APT 1111",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161473",
            "telephone_number": "210-387-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N INDIANA AVE # 42220",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794099843",
            "telephone_number": "806-834-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFEK",
        "first_name": "JENNA",
        "middle_name": "NICHOLE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TX",
            "license": "AT5282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Dubois, MD
• Clifton Edwin Dubose, MD
• Jack Edward Dubose, MD
• Jara Dubose, PT
• Austin Frederick Duersch
• Emma Kathleen Duffey, DO
• Billie Duffy, LPC-S
• Becky Lawanda Duke, RN
• Brooklyn Rae Duke
• Clayton Duke, OT

• Other Specialist/Technologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.