DR. DARNELL AUTRY DURRAH JR. (NPI# 1063746931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063746931 |
| Entity Type | Individual |
| Full Name | DR. DARNELL AUTRY DURRAH JR. |
| Credential | PHD |
| Practice Address |
4076 Neely Rd Fort Wainwright AK 99703 |
| Mailing Address |
2332 Harney Rd Fort Sam Houston TX 78234-7508 |
| Practice Telephone | 9073614132 |
| Mailing Telephone | 2105399567 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
0004816 | CO | Behavioral Health & Social Service Providers |
| Street Address |
4076 NEELY RD |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720021421 | Michael Shawn Neff | Family Medicine | 4076 Neely Rd, Basset Army Community Hospital, Fort Wainwright, AK 99703 | 2006-06-13 |
| 1295215515 | Aimee Duncan | Dietitian, Registered | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2018-08-16 |
| 1891243374 | Lorna D Newman-hill | Nurse Practitioner | 4076 Neely Rd, Fort Wainwright, AK 99703-1376 | 2016-09-14 |
| 1053775213 | Robert Fisher | Licensed Practical Nurse | 4076 Neely Rd, Bassett Army Community Hospital Internal Med Clinic, Fort Wainwright, AK 99703 | 2016-04-13 |
| 1023492394 | Sean Gregory Penberthy | Obstetrics & Gynecology | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2015-07-16 |
| 1902210552 | Christina Remmert | Internal Medicine | 4076 Neely Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 | 2014-06-11 |
| 1306289764 | Steven George Ward | Orthopaedic Surgery | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2013-04-16 |
| 1023356797 | Momodoulamin Si Drammeh | Physician Assistant | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2013-01-30 |
| 1093062861 | Joshua Glenn Hyatt | Dentist | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2012-08-10 |
| 1598059461 | Andrey Yusupov | Radiology | 4076 Neely Rd, Fort Wainwright, AK 99703 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1720162332 | Elaine Ponchione | Psychologist | 250 Cushman St Ste 3c, Fairbanks, AK 99701-4665 | 2006-10-24 |
| 1366547465 | Jerline Jackson | Psychologist | 6721 Howard Ave, Anchorage, AK 99504-1896 | 2006-09-13 |
| 1487696795 | Marjorie Teresa Kyle | Psychologist | 4982 Zukert Ave, Rm 126, Jber, AK 99505 | 2006-06-12 |
| 1700416633 | Kuupuamakamae Naluai | Psychologist | 4600 Abbott Rd, Anchorage, AK 99507-4314 | 2020-01-20 |
| 1811536113 | Hats of Wisdom | Psychologist | Mile 266.5 Richardson Hwy, Delta Junction, AK 99737-0809 | 2020-01-03 |
| 1184263741 | Alaska Telepsychology | Psychologist | 401 E Fireweed Ln Ste 201, Anchorage, AK 99503-2100 | 2019-12-31 |
| 1114562949 | Samantha Rene Murphy | Psychologist | 3524 Industrial Ave, Fairbanks, AK 99701-7376 | 2019-11-15 |
| 1053955427 | Marc Steven Dutch | Psychologist | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2019-10-29 |
| 1851889919 | Jason D Perez | Psychologist | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.