Morgen Durant

Individual provider Active NPI Case Manager/Care Coordinator · Brewster, OH

NPI 1477371011 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1477371011
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
601 Tuscarawas Ave NW
Brewster, OH 44613-1037
Phone
(330) 447-5768
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

601 Tuscarawas Ave NW
Brewster, OH 44613-1037

Mailing address

601 Tuscarawas Ave NW
Brewster, OH 44613-1037

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2024.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1477371011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TUSCARAWAS AVE NW",
            "city": "BREWSTER",
            "state": "OH",
            "postal_code": "446131037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TUSCARAWAS AVE NW",
            "city": "BREWSTER",
            "state": "OH",
            "postal_code": "446131037",
            "telephone_number": "330-447-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "MORGEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, OH

All providers in Brewster, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.