Individual provider Active NPI

Danielle Lynn Elliott, NP

  • Family Nurse Practitioner
  • Waterford, MI
National Provider Identifier
1073166534
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704275421 Issued in MI
Practice address
2446 Elizabeth Lake Rd
Waterford, MI 48328-3310
Phone
(248) 309-3344
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704275421 MI
Family Nurse Practitioner 363LF0000X 4704275421 MI Primary
Primary Care Nurse Practitioner 363LP2300X 4704275421 MI

Addresses

Primary practice location

2446 Elizabeth Lake Rd
Waterford, MI 48328-3310

Mailing address

47008 Burning Tree LN
Macomb, MI 48044-3023
Phone (586) 598-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20191015003366 MI Practitioner - Nurse Practitioner 7517298946 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Practice addresses (Care Compare)

23455 Michigan Ave
Suite a
Dearborn, MI 48124-1908
Phone (734) 333-8001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704275421MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Urgent Care PLLC CurrentSince Nov 28, 2024 Accepting new patients
Mound Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Shelby Urgent Care PC CurrentSince Apr 1, 2022 Accepting new patients
Somerset Urgent Care PLLC CurrentSince May 7, 2021 Accepting new patients
Romeo Plank Urgent Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
Shelby Urgent Care PC CurrentSince Apr 1, 2022 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Sep 1, 2019 Accepting new patients
First Choice Urgent Care PC CurrentSince May 1, 2025 Accepting new patients
Somerset Urgent Care PLLC CurrentSince May 7, 2021 Accepting new patients
Oxford Urgent Care P L C CurrentSince May 7, 2021 Accepting new patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Jan 1, 2021 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Sep 1, 2019 Accepting new patients
Royal Urgent Care, PLLC CurrentSince Sep 1, 2019 Accepting new patients
Harper Urgent Care PLLC CurrentSince Jul 1, 2022 Accepting new patients
Oxford Urgent Care, LLC Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

23455 Michigan Ave
Ste A
Dearborn, MI 48124
Phone (734) 333-8001

31450 Ford Rd
Ste A
Garden City, MI 48135
Phone (313) 438-6094

1225 S Latson Rd
Ste 130
Howell, MI 48843
Phone (517) 338-2360

18200 23 Mile Rd
Macomb, MI 48044
Phone (586) 992-5500

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

51850 Dequindre Rd
Ste 1
Shelby Township, MI 48316
Phone (586) 799-4082

25515 Harper Ave
St Clr Shores, MI 48081
Phone (248) 850-8395

25515 Harper Ave
#U
St Clr Shores, MI 48081
Phone (248) 850-8395

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • Direct secure messaging: danielle.elliott.3@20203.direct.athenahealth.com
  • Direct secure messaging: danielle.elliott.4@20203.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073166534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47008 BURNING TREE LN",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443023",
            "telephone_number": "586-598-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 ELIZABETH LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283310",
            "telephone_number": "248-309-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704275421",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704275421",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704275421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.