Nicole Regina Durham, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP013310 Issued in PA

Practice address

116 S George St
York, PA 17401-1474

Phone

(717) 845-8617

NPI assigned

Oct 24, 2013

Last updated

Apr 24, 2018By the provider in NPPES

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.durham.1@7492.direct.athenahealth.com
• Direct secure messaging: nicole.durham@direct-address.net
• Direct secure messaging: nicole.durham1@direct-address.net

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

• Family First Health Corporation

  dba Family First Health - George Street Center

  • Federally Qualified Health Center (FQHC)
  • York, PA
  • NPI 1881639904
  Medicare reassignment NPD
• Family First Health Corporation

  • Community/Retail Pharmacy
  • York, PA
  • NPI 1699573758
  NPD
• Family First Health Corporation

  dba Family First Health - Lewisberry Center

  • Federally Qualified Health Center (FQHC)
  • Lewisberry, PA
  • NPI 1841354529
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1548698715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-845-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "NICOLE",
        "middle_name": "REGINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP013310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lee Durange, BS
• Nikki Durano, COTA/L
• Dominique Durante, MD
• Hanna Durbin
• Terry T Durbin, DDS
• Patricia Ann Durkin, CRNA
• Jodi Durmowicz
• Anand Dutta, M.D.
• Tara Lynne McColgin Dutta, M.D.
• Aleksandr Dzhanashvili, MD, PHD, RVS, NVS

• Gerontology Nurse Practitioner in York, PA
• Providers in York, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.