Individual provider Active NPI

Danielle Warren, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1033394044
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA576 Issued in TN
Practice address
10215 Kingston Pike Ste 200
Knoxville, TN 37922-3492
Phone
(865) 584-8580
Fax
(865) 251-9961
NPI assigned
Jan 9, 2008
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA576 TN Primary

Addresses

Primary practice location

10215 Kingston Pike Ste 200
Knoxville, TN 37922-3492

Mailing address

10215 Kingston Pike Ste 200
Knoxville, TN 37922-3492
Phone (865) 584-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080130000692 TN Practitioner - Physician Assistant 7810079779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Wellness Center PCGroup PAC ID 1658313549, 8 clinicians

Practice addresses (Care Compare)

10215 Kingston Pike
Suite 200
Knoxville, TN 37909-3222
Phone (865) 584-8580

10215 Kingston Pike
Suite 200
Knoxville, TN 37922-3492

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
93.26
Improvement activities
40
Cost
77.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA576TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Group PLLC Past Accepting new patients
Knoxville Internal Medicine PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniellebernard@tswc.allscriptsdirect.net

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1033394044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223492",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223492",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.