Active NPI
Debra McLemore Duffy, COTA/L
- Specialist
- Covington, TN
National Provider Identifier
1780767475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4690819
- Practice address
- 765 Bert Johnston Ave
Covington, TN 38019-2414 - Phone
- (901) 475-0027
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4690819 | TN | Primary |
Addresses
Primary practice location
765 Bert Johnston Ave
Covington, TN 38019-2414
Mailing address
3012 Elgin Dr
Memphis, TN 38115-2213
Phone (901) 565-0896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4690819 | Other | TN | CERTIFICATION NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4690819 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780767475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 ELGIN DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381152213",
"telephone_number": "901-565-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 BERT JOHNSTON AVE",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380192414",
"telephone_number": "901-475-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEMORE DUFFY",
"first_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "4690819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER",
"identifier": "4690819",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.