Individual provider Active NPI

Elizabeth Kathleen Hanna Duey, MSN, RN, CNS

  • Pediatric Clinical Nurse Specialist
  • Modesto, CA
National Provider Identifier
1629765375
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
5037 Issued in CA
Practice address
119 Park Ave
Modesto, CA 95354-0556
Phone
(917) 496-0736
NPI assigned
Apr 21, 2023
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 5037 CA Primary

Addresses

Primary practice location

119 Park Ave
Modesto, CA 95354-0556

Mailing address

119 Park Ave
Modesto, CA 95354-0556
Phone (917) 496-0736

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1629765375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PARK AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540556",
            "telephone_number": "917-496-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PARK AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540556",
            "telephone_number": "917-496-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUEY",
        "first_name": "ELIZABETH",
        "middle_name": "KATHLEEN HANNA",
        "credential": "MSN, RN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.