Rebecca Duran, NP
Individual provider Active NPI Women's Health Nurse Practitioner · Chaparral, NM
NPI 1760722342 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1760722342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 65033 (NM)
- Practice address
- 309 Red Sun Dr # 1D
Chaparral, NM 88081-7966 - Phone
- (575) 228-7787
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20161206000727 | CA | Practitioner - Nurse Practitioner | 6305143926 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65033 | NM | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| US Telemedicine LLC | Women'S Health | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Current |
Accepting new patients | |
| Algos Inc., a Medical Corporation | Past | Accepting new patients |
Locations
891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308
340 Fourth Ave
Ste 19
Chula Vista, CA 91910
Phone (619) 427-2411
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
7525 Metropolitan Dr
Ste 302
San Diego, CA 92108
Phone (619) 325-1161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 21054 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 1033877 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 65033 | NM | Yes |
Addresses
Primary practice location
309 Red Sun Dr # 1D
Chaparral, NM 88081-7966
Mailing address
309 Red Sun Dr # 1D
Chaparral, NM 88081-7966
Phone (619) 213-8375
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UStelemedicine@hotmail.com |
Other providers in Chaparral, NM
- Carleen Covington
- Michael Crespin
- Carole Decastro
- Desert Vista Counseling and Behavioral Health Service LLC
- Desert Vista Counseling and Behavioral Health Service, LLC
- Eben-Ezer Home Care LLC
- Austin Tyler Eddy
- Karen Flores
- Alejandra Galindo
- Meliza Gomez
All providers in Chaparral, NM · Women's Health Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. 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.