Individual provider Active NPI

Patricia Durham, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1780649632
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP110323 Issued in TX
Practice address
808 Joliet Ave Unit 220
Lubbock, TX 79415-1158
Phone
(806) 761-0566
Fax
(806) 744-7252
NPI assigned
Apr 20, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 525228 TX
Family Nurse Practitioner 363LF0000X AP110323 TX Primary

Addresses

Primary practice location

808 Joliet Ave Unit 220
Lubbock, TX 79415-1158

Mailing address

5219 City Bank Pkwy Ste 214
Lubbock, TX 79407-3537
Phone (806) 761-0333

Other practice location 1

5406 Colgate St
Lubbock, TX 79416
Phone (806) 507-3500

Other identifiers 1

IdentifierTypeStateIssuer
092929102MedicaidTX

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
I20050106000770 TX Practitioner - Nurse Practitioner 5799733747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LFM AssociatesGroup PAC ID 4082020086, 12 clinicians

Practice addresses (Care Compare)

7008 Indiana Ave
Suite a
Lubbock, TX 79413-6138
Phone (806) 698-8088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
525228TXMDNurse Practitioner
AP110323TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock County Hospital District PastSince Sep 1, 2019 Accepting new patients
Ralls NH Operations LTD Past Accepting new patients
Lubbock County Hospital District PastSince Sep 1, 2019 Accepting new patients
Physicians Unity Family Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1780649632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 214",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073537",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 JOLIET AVE UNIT 220",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794151158",
            "telephone_number": "806-761-0566",
            "fax_number": "806-744-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 Colgate St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "79416",
            "country_code": "US",
            "telephone_number": "806-507-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "525228",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092929102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.