Active NPI
Rusty Rivera Duran NP-C LLC
- Psychiatric/Mental Health Nurse Practitioner
- Yorktown, VA
National Provider Identifier
1801675194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RUSTY RIVERA DURAN NP-C LLC
- Practice address
- 205 Hampton Hwy
Yorktown, VA 23693-3512 - Phone
- (757) 865-1843
- Fax
- (757) 865-7485
- NPI assigned
- Sep 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rusty Duran, APRN
- Title
- NP-C
- Phone
- (513) 504-0458
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
205 Hampton Hwy
Yorktown, VA 23693-3512
Mailing address
205 Hampton Hwy
Yorktown, VA 23693-3512
Phone (757) 865-1843
Other names 1
- Associates of York LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Newport News, VA
- NPI 1932342482
-
- Psychiatric/Mental Health Nurse Practitioner
- Yorktown, VA
- NPI 1528570538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707609600000",
"number": "1801675194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HAMPTON HWY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236933512",
"telephone_number": "757-865-1843",
"fax_number": "757-865-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HAMPTON HWY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236933512",
"telephone_number": "757-865-1843",
"fax_number": "757-865-7485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSTY RIVERA DURAN NP-C LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-26",
"last_updated": "2024-02-11",
"certification_date": "2024-02-11",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "RUSTY",
"authorized_official_title_or_position": "NP-C",
"authorized_official_telephone_number": "513-504-0458",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Associates of York LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.