Individual provider Active NPI

Laura Kristine Purks, PA

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1528626322
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001009173 Issued in NC
Practice address
2741 Campus Walk Ave BLDG 200
Durham, NC 27705-8878
Phone
(919) 391-7202
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 001009173 NC Primary

Addresses

Primary practice location

2741 Campus Walk Ave BLDG 200
Durham, NC 27705-8878

Mailing address

2741 Campus Walk Ave Ste 200
Durham, NC 27705-8878
Phone (919) 391-7202

Other identifiers 1

IdentifierTypeStateIssuer
1528626322OtherNCNPI

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
I20190930003213 NC Practitioner - Physician Assistant 2163752460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Animo Sano Psychiatry PLLCGroup PAC ID 8729489182, 53 clinicians

Practice addresses (Care Compare)

5501 Fortunes Ridge Dr
Suite P
Durham, NC 27713-6102
Phone (919) 391-7202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001009173NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Animo Sano Psychiatry PLLC CurrentSince Apr 1, 2026 Accepting new patients
Center for Emotional Health PastSince Apr 1, 2026 Accepting new patients

Locations

5501 Fortunes Ridge Dr
Ste P
Durham, NC 27713
Phone (919) 319-7202

2741 Campus Walk Ave
Bldg 400
Durham, NC 27705
Phone (919) 909-1230

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1528626322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 CAMPUS WALK AVE STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277058878",
            "telephone_number": "919-391-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 CAMPUS WALK AVE BLDG 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277058878",
            "telephone_number": "919-391-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURKS",
        "first_name": "LAURA",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001009173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528626322",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.