Jamie Lee Durchin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109519 Issued in FL

Practice address

1409 Meadowbrook Ave
Lakeland, FL 33803-2528

Phone

(863) 709-8543

Fax

(863) 688-2520

NPI assigned

Oct 24, 2006

Last updated

Sep 11, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Tri County Human Services, Inc.

  • Community/Behavioral Health Agency
  • Lakeland, FL
  • NPI 1164485074
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1649354812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CRYSTAL LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015979",
            "telephone_number": "863-709-9392",
            "fax_number": "863-688-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 MEADOWBROOK AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032528",
            "telephone_number": "863-709-8543",
            "fax_number": "863-688-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURCHIN",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109519",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lazaro Duque, APRN
• Ricardo E Duque, M.D.
• Melanie Duran, MD
• Rose Durand
• Wendie Durant
• Tomi Lynn Durrance, H.A.S.
• Dawn Alice Durrell, PA
• Ruby Dussek
• Christi Todd Dutchess, M.S., O.T.R.
• Krystelle Duvert

• Medical Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.