Active NPI
Lisa Amaya-Jackson, M.D.
- Psychiatry Physician
- Durham, NC
National Provider Identifier
1841373081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31728
- Practice address
- Duke University Medical Ctr
Durham, NC 27710-0001 - Phone
- (919) 620-4467
- NPI assigned
- Oct 23, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31728 | NC | Primary |
Addresses
Primary practice location
Duke University Medical Ctr
Durham, NC 27710-0001
Mailing address
PO Box 63362
Dumc 3613
Charlotte, NC 28263-3362
Phone (919) 620-4918
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1841373081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63362",
"address_2": "DUMC 3613",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633362",
"telephone_number": "919-620-4918",
"fax_number": "919-620-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUKE UNIVERSITY MEDICAL CTR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-620-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAYA-JACKSON",
"first_name": "LISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "31728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.