Joyce Marie Durham, MSN, FNP-C, ANP-C
Individual provider Active NPI Family Nurse Practitioner · Mesa, AZ
NPI 1669433504 · NPPES record last updated Sep 10, 2008
Key facts
- NPI
- 1669433504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN059869 (AZ)
- Practice address
- 3430 N Mountain RDG
58
Mesa, AZ 85207-1070 - Phone
- (480) 924-7440
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071023000511 | AZ | Practitioner - Nurse Practitioner | 5799871620 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asap Health Solutions Inc | Current |
Accepting new patients | |
| TLC, Health & Education Services, Inc. | Family | Past | Accepting new patients |
Locations
29455 N Cave Creek Rd
Ste 118605
Cave Creek, AZ 85331
Phone (602) 996-5595
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
9846 N 95th St
Scottsdale, AZ 85258
Phone (480) 214-4200
3339 N Drinkwater Blvd
Scottsdale, AZ 85251
Phone (480) 296-7169
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN059869 | AZ | Yes |
Addresses
Primary practice location
3430 N Mountain RDG
58
Mesa, AZ 85207-1070
Mailing address
3430 N Mountain RDG
58
Mesa, AZ 85207-1070
Phone (480) 924-7440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PNP13DURHJ | Medicaid | AZ | |
| 616716-01 | Medicaid | AZ | |
| Z123501 | Other | AZ | MEDICARE PIN |
Other providers in Mesa, AZ
- Michael Duran
- Raven Durant
- Alden Durfee
- Cassie Durfee
- Dustin Durham
- Nellie Christine Durham
- William Durkin
- Durlacher Enterprises Inc
- Mashal Durrani
- Daniel J Durrant
All providers in Mesa, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.