Active NPI
Danielle N. Dallas, FNP
- Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0000800
- Practice address
- 200 Hygeia Dr
Suite 2100
Newark, DE 19713-2049 - Phone
- (302) 623-0188
- Fax
- (302) 623-0554
- NPI assigned
- Nov 12, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0000800 | DE | Primary |
| Family Nurse Practitioner | 363LF0000X | APN-0001800 | DE | |
| Family Nurse Practitioner | 363LF0000X | LG-0000800 | DE |
Addresses
Primary practice location
200 Hygeia Dr
Suite 2100
Newark, DE 19713-2049
Mailing address
200 Hygeia Dr
Suite 2300
Newark, DE 19713-2049
Other names 1
- Danielle N. Fuentes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427002278 | DE | Practitioner - Nurse Practitioner | 3971822891 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000800 | DE | MD | Nurse Practitioner |
| APN-0001800 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Nurse Practitioner | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Nurse Practitioner | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients |
Locations
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
200 Hygeia Dr
Ste 2100
Newark, DE 19713
Phone (302) 623-0188
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
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.
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- NPI 1134104565
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1083010490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"address_2": "SUITE 2300",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HYGEIA DR",
"address_2": "SUITE 2100",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132049",
"telephone_number": "302-623-0188",
"fax_number": "302-623-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLAS",
"first_name": "DANIELLE",
"middle_name": "N.",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-12",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0000800",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "APN-0001800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "FUENTES",
"middle_name": "N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.