Elaine Durkheimer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N-21729 Issued in ID

Practice address

4323 Fairway Nine
Sun Valley, ID 83353

Phone

(208) 720-7204

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1629326350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 992",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833400992",
            "telephone_number": "208-720-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 FAIRWAY NINE",
            "city": "SUN VALLEY",
            "state": "ID",
            "postal_code": "83353",
            "telephone_number": "208-720-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKHEIMER",
        "first_name": "ELAINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-21729",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "RN-48417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewayne Laverne Briscoe, DDS MD
• Michael Joseph Burchmore, PHARMD
• Kathryn Cannell, LPC

• Registered Nurse in Sun Valley, ID
• Providers in Sun Valley, ID by specialty
• Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.