Active NPI
Teresa G Duran, RN
- Registered Nurse
- Arcata, CA
National Provider Identifier
1700456993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 727560
- Practice address
- 770 10TH St
Arcata, CA 95521-6210 - Phone
- (707) 826-8610
- Fax
- (707) 826-8623
- NPI assigned
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 727560 | CA | Primary |
Addresses
Primary practice location
770 10TH St
Arcata, CA 95521-6210
Mailing address
833 Kahlstrom Ave
Trinidad, CA 95570-9726
Phone (707) 298-8955
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727560 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1700456993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 KAHLSTROM AVE",
"city": "TRINIDAD",
"state": "CA",
"postal_code": "955709726",
"telephone_number": "707-298-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 10TH ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216210",
"telephone_number": "707-826-8610",
"fax_number": "707-826-8623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "TERESA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "727560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.