Individual provider Active NPI

Julio Rene Duran Jr., APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1598291353
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7027 Issued in CT
Practice address
73 Cedar St
New Britain, CT 06052-1301
Phone
(860) 224-5267
Fax
(860) 224-5752
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7027 CT Primary

Addresses

Primary practice location

73 Cedar St
New Britain, CT 06052-1301

Mailing address

77 Hazard Ave Unit M2
Enfield, CT 06082-3890
Phone (860) 966-1004

Other practice location 1

77 Hazard Ave
Enfield, CT 06082-3890
Phone (860) 966-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170825001349 CT Practitioner - Nurse Practitioner 0446566434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center Past Accepting new patients
Therapeutic Alliance of Connecticut, LLC Psychiatric/Mental Health PastSince Jul 24, 2022 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julio.duran@xdr.hhchealthdirect.org

Organizations & group practices 3

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598291353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HAZARD AVE UNIT M2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823890",
            "telephone_number": "860-966-1004",
            "fax_number": "860-788-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CEDAR ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521301",
            "telephone_number": "860-224-5267",
            "fax_number": "860-224-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823890",
            "country_code": "US",
            "telephone_number": "860-966-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "JULIO",
        "middle_name": "RENE",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "7027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.