MR. MICAH WAYNE DUKE APRN RN NPI 1750952412

NPI Information

NPI: 1750952412
Provider Name: MR. MICAH WAYNE DUKE, APRN, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1001 TRAVIS RANCH BLVD
STE 2
FORNEY, TX
ZIP 75126
Phone: (469) 910-5902
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MR. Micah Wayne Duke, APRN, RN is a psychiatric/mental health nurse practitioner in Forney, TX with 1 years of experience. MR. Micah Wayne Duke, APRN, RN NPI is 1750952412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 TRAVIS RANCH BLVD
STE 2
FORNEY, TX
ZIP 75126
Phone: (469) 910-5902

The NPI 1750952412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2021 and was last updated on 1/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic		772790	TEXAS	No
2	163W00000X	Registered Nurse		958785	TEXAS	No
3	163WE0003X	Registered Nurse	Emergency	958785	TEXAS	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	1107769	TEXAS	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	1107769	TEXAS	No
6	363LC1500X	Nurse Practitioner	Community Health	1107769	TEXAS	No
7	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	1107769	TEXAS	No
8	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	1107769	TEXAS	No
9	363LA2200X	Nurse Practitioner	Adult Health	1107769	TEXAS	No
10	363LF0000X	Nurse Practitioner	Family	1107769	TEXAS	No
11	363LG0600X	Nurse Practitioner	Gerontology	1107769	TEXAS	No
12	363LP0200X	Nurse Practitioner	Pediatrics	1107769	TEXAS	No
13	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1107769	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1107769	OTHER	TEXAS	TX APRN LICENSE
2	958785	OTHER	TEXAS	REGISTERED NURSE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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