Active NPI
Jennie S. Duran, MS, CCC-SLP
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1467539759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 578
- Practice address
- 505 Elm St NE
Albuquerque, NM 87102-2500 - Phone
- (505) 727-4712
- Fax
- (505) 727-9209
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 578 | NM | Primary |
Addresses
Primary practice location
505 Elm St NE
Albuquerque, NM 87102-2500
Mailing address
1400 Childers Dr NE
Albuquerque, NM 87112-5140
Phone (505) 292-2463
Other names 1
- Ms. Juana Saavedra Duran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467539759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CHILDERS DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125140",
"telephone_number": "505-292-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500",
"telephone_number": "505-727-4712",
"fax_number": "505-727-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "JENNIE",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUANA",
"last_name": "DURAN",
"middle_name": "SAAVEDRA",
"prefix": "MS.",
"credential": "MS, CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.