MRS. TAJUANA D LORDEUS (NPI# 1689731788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689731788 |
| Entity Type | Individual |
| Full Name | MRS. TAJUANA D LORDEUS |
| Other Name | MISS TAJUANA D CROSBY |
| Credential | P.A. |
| Practice Address |
2645 Meridian Pkwy Ste 323 Durham NC 27713-4232 |
| Mailing Address |
1 Medical Dr Benson NC 27504-1177 |
| Practice Telephone | 9842278902 |
| Mailing Telephone | 9198941740 |
| Mailing Fax Number | 9193598689 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103614 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST, DOCTOR'S DIRECT | 204875 | 01 |
| NC | DEA | MC0901593 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Dr, Benson, NC 275041177 | 9198941740 | 9193598689 |
| Street Address |
2645 MERIDIAN PKWY STE 323 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013869 | Heston Channing Lamar | Emergency Medicine | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2005-06-17 |
| 1811452246 | Stephanie Britt | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2019-02-11 |
| 1306397054 | Destiny Breland | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2016-10-18 |
| 1942655071 | Penny Phlegar | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2016-04-26 |
| 1285097923 | Robin Anita Lewis | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2016-03-31 |
| 1780058685 | Sarah Leyhew | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2015-11-16 |
| 1740651942 | Catreina Dinnete Cherry-max | Registered Nurse | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2015-10-13 |
| 1578934170 | Vashonda Foust-brown | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2015-10-08 |
| 1982070512 | Suzanne Ferguson Carr | Nurse Practitioner | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2015-08-18 |
| 1295149151 | Laura Hoste | Registered Nurse | 2645 Meridian Pkwy Ste 323, Durham, NC 27713-4232 | 2014-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1801402896 | Kristy Marie Stevlingson | Physician Assistant | 2211 Hillsborough Rd Apt 4081, Durham, NC 27705-4163 | 2020-09-16 |
| 1700490877 | Alice Curchin | Physician Assistant | 813 N Buchanan Blvd Apt 4, Durham, NC 27701-1563 | 2020-09-04 |
| 1366056434 | Katherine Monjaras | Physician Assistant | 2901 Bertland Ave Apt 1538, Durham, NC 27705-6829 | 2020-09-04 |
| 1659980233 | Belinda Kim Khou | Physician Assistant | 501 Willard St Apt 215, Durham, NC 27701-3285 | 2020-07-29 |
| 1568080943 | Katherine Jean Hauler | Physician Assistant | 3802 Meriwether Dr Apt L, Durham, NC 27704-2855 | 2020-07-11 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1225668536 | Ashley Lynn Biggs | Physician Assistant | 4302 Waterford Valley Dr Apt 1911, Durham, NC 27713-8353 | 2020-01-26 |
| 1710546007 | Lauren Deruyter | Physician Assistant | 40 Duke Medicine Cir # 3j, Durham, NC 27710-4000 | 2019-06-10 |
| 1295202505 | Nathaniel Quinley | Physician Assistant | Duke Clinic 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-10-25 |
| Find all providers in DURHAM | ||||
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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.