Individual provider Active NPI

Fernanda Durlene, DAOM, LAC

  • Acupuncturist
  • Sedona, AZ
National Provider Identifier
1841847159
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1028 Issued in AZ
Practice address
4170 E Tomahawk Pass
Sedona, AZ 86336-4334
Phone
(928) 399-9998
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1028 AZ Primary

Addresses

Primary practice location

4170 E Tomahawk Pass
Sedona, AZ 86336-4334

Mailing address

4170 E Tomahawk Pass
Sedona, AZ 86336-4334

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sedonaranch.org

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

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1841847159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 E TOMAHAWK PASS",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 E TOMAHAWK PASS",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364334",
            "telephone_number": "928-399-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURLENE",
        "first_name": "FERNANDA",
        "name_prefix": "Dr.",
        "credential": "DAOM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sedonaranch.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "4170 E Tomahawk Pass",
            "city": "Sedona",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863364334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.