Active NPI
Danielle Morrison, CRNP
- Family Nurse Practitioner
- Delray Beach, FL
National Provider Identifier
1073915518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-128193
- Practice address
- 16244 S Military TRL
Delray Beach, FL 33484-6534 - Phone
- (561) 499-9506
- Fax
- (561) 499-0501
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-128193 | AL | Primary |
Addresses
Primary practice location
16244 S Military TRL
Delray Beach, FL 33484-6534
Mailing address
16244 S Military TRL
Delray Beach, FL 33484-6534
Phone (561) 499-9506
Other practice location 1
2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Phone (256) 970-9622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q025861 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Flscheduling@goldenvictorymedical.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21780 | TN | MD | Pharmacist |
| 1-128193 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Internal Medicine Ctr-Burt MD LTD | Current | Accepting new patients |
Locations
2605 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 320-7100
Interoperability endpoints
- flscheduling@goldenvictorymedical.com
Organizations & group practices 1
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.
-
dba Nevada Internal Medicine Center
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1982734133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1073915518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16244 S MILITARY TRL",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846534",
"telephone_number": "561-499-9506",
"fax_number": "561-499-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16244 S MILITARY TRL",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846534",
"telephone_number": "561-499-9506",
"fax_number": "561-499-0501"
}
],
"practiceLocations": [
{
"address_1": "2241 Thornton Taylor Pkwy",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "TN",
"postal_code": "373343637",
"country_code": "US",
"telephone_number": "256-970-9622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "DANIELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2021-04-09",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-128193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q025861",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Flscheduling@goldenvictorymedical.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "16244 S Military Trl",
"city": "Delray Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334846534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.