KEITH M DURYEA (NPI# 1932173473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932173473 |
| Entity Type | Individual |
| Full Name | KEITH M DURYEA |
| Credential | CNS |
| Practice Address |
102 N Magdalen St San Angelo TX 76903-5400 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3256581511 |
| Mailing Telephone | 3256581511 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2011-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 525231 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 088296101 | 05 |
| Street Address |
102 N MAGDALEN ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889431 | Regional Cancer Treatment Center Ltd | Clinic/Center | 102 N Magdalen St, Suite 120, San Angelo, TX 76903-5400 | 2005-08-30 |
| 1417569583 | Margaret M. Nunez | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2020-08-20 |
| 1265082788 | Kristin Ashley Debusk | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-09-17 |
| 1164075057 | Laci J. Martin | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-07-19 |
| 1124688288 | Roy Rios Rodriguez | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-06-19 |
| 1528623659 | Amy Dianne Harris | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2019-05-03 |
| 1811491293 | Alex E Robles | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2018-03-21 |
| 1871004358 | Shannon Lee Campbell | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2017-10-23 |
| 1487164232 | Frances Ann Sewell | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2017-10-06 |
| 1306376827 | Jamie Prieto | Nurse Practitioner | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073588539 | Christa D Martin | Clinical Nurse Specialist | Box 11019 Asu, 1901 Johnson Street, San Angelo, TX 76909-1019 | 2006-02-20 |
| 1508105982 | Rachael A Conover | Clinical Nurse Specialist | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2013-02-05 |
| 1790065936 | Jessie Hoak | Clinical Nurse Specialist | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2011-08-19 |
| 1265755474 | San Angelo Hospital, Lp | Clinical Nurse Specialist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2010-03-03 |
| 1528202025 | Patricia Douglass Vanover | Clinical Nurse Specialist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2009-04-28 |
| 1871737387 | Deborah Ann Pope | Clinical Nurse Specialist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2009-04-28 |
| 1326170259 | Wanda H Lange | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2007-03-09 |
| 1568572691 | Gayle Porter | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-08-30 |
| 1609834639 | Rebecca C Taylor | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-05-01 |
| 1144297185 | Valarie V. Mills | Clinical Nurse Specialist | 102 N Magdalen St, San Angelo, TX 76903-5400 | 2006-03-08 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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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.