Individual provider Active NPI

Danielle Renee Puri, ARNP

  • Family Nurse Practitioner
  • West Valley City, UT
National Provider Identifier
1003287434
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11140002-4405 Issued in UT
Practice address
3448 West 3200 South
West Valley City, UT 84119
Phone
(801) 359-2256
Fax
(801) 364-4392
NPI assigned
Oct 12, 2015
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 11140002-4405 UT Primary

Addresses

Primary practice location

3448 West 3200 South
West Valley City, UT 84119

Mailing address

3448 West 3200 South
West Valley City, UT 84119
Phone (801) 359-2256

Other names 1

  • Danielle Renee Knoepfler Former name

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
I20240229000183 TX Practitioner - Nurse Practitioner 0244531564 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

660 S 200
Suite 250
Salt Lake City, UT 84111-3846

660 S 200 E
Salt Lake, UT 84111-3846
Phone (801) 395-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Goshute Reservation CurrentSince Jan 21, 2024 Accepting new patients
Confederated Tribes of the Goshute Reservation CurrentSince Jan 21, 2024 Accepting new patients
Confederated Tribes of the Goshute Reservation Past Accepting new patients

Locations

195 Tribal Center Rd
Ibapah, UT 84034
Phone (435) 234-1302

660 S 200 E
Ste 250
Slc, UT 84111
Phone (801) 364-4392

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAIGAD/Endpoint/GAIGAD
  • Direct secure messaging: dpuri381456@direct.med.utah.edu

Organizations & group practices 3

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1003287434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 WEST 3200 SOUTH",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 WEST 3200 SOUTH",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-359-2256",
            "fax_number": "801-364-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURI",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11140002-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KNOEPFLER",
            "middle_name": "RENEE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.