Individual provider Active NPI

Daniella Rochelle Cleveland, FNP

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1043853294
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236346 Issued in AZ
Practice address
37000 N Gantzel Rd
Queen Creek, AZ 85140-7303
Phone
(480) 394-4000
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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 236346 AZ Primary

Addresses

Primary practice location

37000 N Gantzel Rd
Queen Creek, AZ 85140-7303

Mailing address

384 E March St
San Tan Valley, AZ 85140-5723
Phone (480) 628-7930

Other names 1

  • Mrs. Daniella Cleveland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200207002039 AZ Practitioner - Nurse Practitioner 8022444173 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Medica del Sol, LLC CurrentSince Jan 1, 2020 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 9, 2021 Accepting new patients
Good Health Medical, PLLC CurrentSince Dec 9, 2021 Accepting new patients
Guggiari Med PC Family CurrentSince Jan 1, 2020 Accepting new patients

Locations

11435 W Buckeye Rd
Ste A106
Avondale, AZ 85323
Phone (703) 415-6994

19550 W Indian School Rd
Ste 102
Buckeye, AZ 85396

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

831 S Cotton Ln
Ste F78
Goodyear, AZ 85338

636 W Southern Ave
Mesa, AZ 85210
Phone (480) 969-5817

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

2632 S 83rd Ave
Ste 113
Phoenix, AZ 85043

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • Direct secure messaging: dcleveland18870@mydrnow.gardenplot.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1043853294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 E MARCH ST",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851405723",
            "telephone_number": "480-628-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37000 N GANTZEL RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407303",
            "telephone_number": "480-394-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "DANIELLA",
        "middle_name": "ROCHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "236346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLA",
            "last_name": "CLEVELAND",
            "prefix": "MRS.",
            "credential": "ECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.