Individual provider Active NPI

Deborah Ann Duda, FNP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1851417356
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 09127 Issued in OH
Practice address
1155 E Alexis
Toledo, OH 46312
Phone
(419) 726-6500
Fax
(419) 726-3775
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 09127 OH Primary
Family Nurse Practitioner 363LF0000X 4704181455 MI

Addresses

Primary practice location

1155 E Alexis
Toledo, OH 46312

Mailing address

1421 S Reynolds Rd
Toledo, OH 43615
Phone (419) 725-6290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071010000067 OH Practitioner - Nurse Practitioner 9234225061 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704181455MIMDFamily Nurse Practitioner
NP 09127OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Ohio Urgent Care Inc CurrentSince Aug 27, 2016 Accepting new patients

Locations

5911 Benore Rd
Toledo, OH 43612
Phone (419) 726-6500

1421 S Reynolds Rd
Toledo, OH 43615
Phone (419) 725-6290

1155 E Alexis Rd
Toledo, OH 43612
Phone (419) 726-6500

Interoperability endpoints

  • Direct secure messaging: deborah.duda.1@14982.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1851417356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43615",
            "telephone_number": "419-725-6290",
            "fax_number": "419-725-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E ALEXIS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "46312",
            "telephone_number": "419-726-6500",
            "fax_number": "419-726-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP 09127",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704181455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.