Individual provider Active NPI

Evelyn Morris Durham, FNP

  • Family Nurse Practitioner
  • Joaquin, TX
National Provider Identifier
1992175160
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129168 Issued in TX
Practice address
12815 US Highway 84 E
Joaquin, TX 75954-2440
Phone
(936) 269-3201
NPI assigned
Sep 30, 2015
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP129168 TX Primary

Addresses

Primary practice location

12815 US Highway 84 E
Joaquin, TX 75954-2440

Mailing address

12815 US Highway 84 E
Joaquin, TX 75954-2440
Phone (936) 269-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151214001827 TX Practitioner - Nurse Practitioner 7214238377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

4054 NW Loop
Carthage, TX 75633-3346
Phone (903) 693-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Quick Care, LLC CurrentSince Jul 6, 2023 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Apr 1, 2025 Accepting new patients
Texas Quick Care, LLC CurrentSince Jul 6, 2023 Accepting new patients
Health Opportunities for the People of East Texas Family Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4054 NW Loop
Carthage, TX 75633
Phone (903) 693-8504

233 Hurst St
Center, TX 75935
Phone (936) 591-8171

246 Haley Dr
Center, TX 75935
Phone (936) 598-6286

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

12815 US Highway 84 E
Joaquin, TX 75954
Phone (936) 220-1442

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

Interoperability endpoints

  • Direct secure messaging: evelyn.durham.1@13578.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1992175160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 84 E",
            "city": "JOAQUIN",
            "state": "TX",
            "postal_code": "759542440",
            "telephone_number": "936-269-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 US HIGHWAY 84 E",
            "city": "JOAQUIN",
            "state": "TX",
            "postal_code": "759542440",
            "telephone_number": "936-269-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "EVELYN",
        "middle_name": "MORRIS",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joaquin, TX

Sources for this page

Verify at the official NPI Registry.