Active NPI
Danielle Grace Fender
- Developmental Therapist
- Macclenny, FL
National Provider Identifier
1053272740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 172 East Blvd N
Macclenny, FL 32063-2214 - Phone
- (904) 568-6246
- NPI assigned
- Nov 21, 2025
- Last updated
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | FL | Primary |
Addresses
Primary practice location
172 East Blvd N
Macclenny, FL 32063-2214
Mailing address
172 East Blvd N
Macclenny, FL 32063-2214
Phone (904) 568-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1053272740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 EAST BLVD N",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632214",
"telephone_number": "904-568-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 EAST BLVD N",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632214",
"telephone_number": "904-568-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDER",
"first_name": "DANIELLE",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-21",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macclenny, FL
- Elizabeth Southard, LMHC, LLC
- Cristin Ellis
- Alexandra Erbesti
- Alanna D Eubanks, RD, LD/N
- Tara Evans
- First Coast Imaging, LLC (Select Diagnostics)
- Florida Department of Children and Families (Northeast Florida State Hospital)
- Florida Department of Children and Families (NortheastFloridaStateHospitalCommunityBehavioralHealthcareServices)
- Florida Department of Health (Baker County Health Department)
- Foundations: Speech, Language and Learning Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.