Individual provider Active NPI

Anthonia Duru, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1669096905
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP146144 Issued in TX
Practice address
1030 S Carrier Pkwy Ste 100
Grand Prairie, TX 75051-1527
Phone
(469) 373-2260
NPI assigned
Jun 2, 2020
Last updated
Jun 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP146144 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP146144 TX Primary

Addresses

Primary practice location

1030 S Carrier Pkwy Ste 100
Grand Prairie, TX 75051-1527

Mailing address

1030 S Carrier Pkwy Ste 100
Grand Prairie, TX 75051-1527
Phone (469) 373-2260

Other practice location 1

3201 Matlock Rd Ste 350
Arlington, TX 76015-2954
Phone (864) 336-2731

Other practice location 2

2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone (864) 336-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210105000142 TX Practitioner - Nurse Practitioner 1951461631 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kotel AtxGroup PAC ID 9537578810, 27 clinicians
Big Leap Medical Group of America PAGroup PAC ID 4284159161, 14 clinicians

Practice addresses (Care Compare)

Austin, TX 78746
Phone (512) 777-2591

1030 S Carrier Pkwy
Suite 100
Grand Prairie, TX 75051-1527
Phone (469) 373-2260

411 N Washington Ave
Suite 5200
Dallas, TX 75246-1778
Phone (855) 204-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP146144TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Leap Medical Group of America P.a. CurrentSince Oct 1, 2025 Accepting new patients
Peculiar Health & Psychiatry LLC Psychiatric/Mental Health CurrentSince Aug 27, 2025 Accepting new patients
Peculiar Wellness Center LLC Psychiatric/Mental Health CurrentSince Oct 17, 2023 Accepting new patients
Kotel Atx PLLC CurrentSince Jun 23, 2025 Accepting new patients
Allara Medical Group PA Past Accepting new patients
Dallas County Mental Health & Mental Retardation Center PastSince Jan 20, 2021 Accepting new patients

Locations

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

123 Executive Way
#209
Desoto, TX 75115
Phone (214) 217-0131

1030 S Carrier Pkwy
Ste 100
Grand Prairie, TX 75051
Phone (469) 373-2260

4110 Richmond Pl
Texarkana, TX 75503
Phone (786) 305-4192

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Interoperability endpoints

  • Direct secure messaging: anthonia.duru.1@31508.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1669096905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S CARRIER PKWY STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511527",
            "telephone_number": "469-373-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S CARRIER PKWY STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511527",
            "telephone_number": "469-373-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Matlock Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152954",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Guadalupe St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787055642",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURU",
        "first_name": "ANTHONIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP146144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP146144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.