Active NPI
Jessica Durham, DVM
- Specialist
- Schenectady, NY
National Provider Identifier
1659951499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 010095
- Practice address
- 406 Balltown Rd
Schenectady, NY 12304-2245 - Phone
- (518) 374-2848
- Fax
- (518) 374-5124
- NPI assigned
- Apr 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 010095 | NY | Primary |
Addresses
Primary practice location
406 Balltown Rd
Schenectady, NY 12304-2245
Mailing address
406 Balltown Rd
Schenectady, NY 12304-2245
Phone (518) 374-2848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010095 | Other | NY | THE UNIV OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.durham@banfield.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1659951499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 BALLTOWN RD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123042245",
"telephone_number": "518-374-2848",
"fax_number": "518-374-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 BALLTOWN RD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123042245",
"telephone_number": "518-374-2848",
"fax_number": "518-374-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-14",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "010095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE UNIV OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS",
"identifier": "010095",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.durham@banfield.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "406 Balltown Rd",
"city": "Schenectady",
"state": "NY",
"country_code": "US",
"postal_code": "123042245",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.