Individual provider Active NPI

Danielle L Deline, NP-C

  • Family Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1053842880
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.006976 Issued in CT
Practice address
1057 Boston Post Road
Guilford, CT 06437-0643
Phone
(866) 389-2727
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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 12.006976 CT Primary

Addresses

Primary practice location

1057 Boston Post Road
Guilford, CT 06437-0643

Mailing address

1057 Boston Post Rd Ste 2
Guilford, CT 06437-2672
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20170419001840 CT Practitioner - Nurse Practitioner 6204112675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

2045 Dixwell Ave
Hamden, CT 06514-2405
Phone (866) 389-2727

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12.006976CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Oct 3, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Apr 7, 2017 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

1057 Boston Post Rd
Guilford, CT 06437
Phone (203) 458-1444

1057 Boston Post Rd
Ste 2
Guilford, CT 06437
Phone (203) 458-1444

2045 Dixwell Ave
Hamden, CT 06514
Phone (203) 243-1230

519 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-1045

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

525 Buckland Rd
South Windsor, CT 06074
Phone (860) 633-4668

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1053842880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 BOSTON POST RD STE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372672",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BOSTON POST ROAD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064370643",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELINE",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.