Lisa Suzanne Durso, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1082935 Issued in TX

Practice address

350 Pine St
Beaumont, TX 77701-2437

Phone

(409) 833-4004

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1932817269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 INTERNATIONAL AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776321410",
            "telephone_number": "409-883-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012437",
            "telephone_number": "409-833-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURSO",
        "first_name": "LISA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1082935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "beaumontoffice@maxhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "350 Pine St",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777012437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ida Lee Duplechin, L.P.C.
• Amber Nicole Dupree, MSN, NP-C
• Lauren Breanna Duran
• Philip Nicasio Duran, NP
• Ebony L Durio
• Shreya Dutt, M.D.
• Charles Edward Dyer III, D.D.S., M.S.D.
• E Macon Ware DDS Inc
• Eagle Butte Indian Health Service Hospital
• Jazmine Eaglin

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.