Individual provider Active NPI

Edita Aurelia Danaiata, NP

  • Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1003389503
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.018951 Issued in IL
Practice address
1256 Waterford Dr
Aurora, IL 60504-4510
Phone
(630) 499-2399
NPI assigned
Jan 7, 2019
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.410807 IL
Nurse Practitioner 363L00000X 209.018951 IL Primary

Addresses

Primary practice location

1256 Waterford Dr
Aurora, IL 60504-4510

Mailing address

100 E Lefevre Rd
Sterling, IL 61081-1279
Phone (815) 625-0400

Other practice location 1

100 E Lefevre Rd
Sterling, IL 61081-1279
Phone (815) 625-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edita.danaiata.p1@direct.cghmc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190916002592 IL Practitioner - Nurse Practitioner 1355670456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.410807ILMDRegistered Nurse
209.018951ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Aug 1, 2019 Accepting new patients
CGH Medical Center CurrentSince Aug 1, 2019 Accepting new patients
CGH Medical Center Current Accepting new patients

Locations

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: edita.danaiata.p1@direct.cghmc.nextgenshare.com

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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1003389503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LEFEVRE RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811279",
            "telephone_number": "815-625-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044510",
            "telephone_number": "630-499-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Lefevre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610811279",
            "country_code": "US",
            "telephone_number": "815-625-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANAIATA",
        "first_name": "EDITA",
        "middle_name": "AURELIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.410807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.018951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edita.danaiata.p1@direct.cghmc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "100 E Lefevre Rd",
            "city": "Sterling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610811279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.