Individual provider Active NPI

Joyce Marie Durham, MSN, FNP-C, ANP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1669433504
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN059869 Issued in AZ
Practice address
3430 N Mountain RDG
58
Mesa, AZ 85207-1070
Phone
(480) 924-7440
NPI assigned
Mar 30, 2006
Last updated
Sep 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN059869 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20071023000511 AZ Practitioner - Nurse Practitioner 5799871620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asap Health Solutions Inc CurrentSince Sep 1, 2007 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

3339 N Drinkwater Blvd
Scottsdale, AZ 85251
Phone (480) 296-7169

9846 N 95th St
Scottsdale, AZ 85258
Phone (480) 214-4200

Organizations & group practices 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1669433504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 N MOUNTAIN RDG",
            "address_2": "58",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071070",
            "telephone_number": "480-924-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 N MOUNTAIN RDG",
            "address_2": "58",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071070",
            "telephone_number": "480-924-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JOYCE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN059869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.