Andreanna Duron

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78914 Issued in TX

Practice address

8951 Cypress Waters Blvd Ste 160
Coppell, TX 75019-4784

Phone

(940) 220-9307

Fax

(833) 263-6680

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

Yes

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1447896923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 205",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701658",
            "telephone_number": "940-220-9307",
            "fax_number": "833-263-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD STE 160",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194784",
            "telephone_number": "940-220-9307",
            "fax_number": "833-263-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8751 Collin McKinney Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701658",
            "country_code": "US",
            "telephone_number": "940-220-9307",
            "fax_number": "833-263-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURON",
        "first_name": "ANDREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelsey Shae Eastman
• Ross James Ebbe, PTA

• Professional Counselor in Coppell, TX
• Providers in Coppell, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.