Individual provider Active NPI

Danielle Nugent, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Havertown, PA
National Provider Identifier
1083084701
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031865 Issued in PA
Practice address
504 Dogwood Cir
Havertown, PA 19083-2526
Phone
(484) 306-3126
Fax
(757) 432-3216
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP015324 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031865 PA Primary

Addresses

Primary practice location

504 Dogwood Cir
Havertown, PA 19083-2526

Mailing address

504 Dogwood Cir
Havertown, PA 19083-2526
Phone (484) 645-2015

Other names 1

  • Danielle Civatte Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171026002340 PA Practitioner - Nurse Practitioner 3274843255 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

2395 Lancaster Pike
Reading, PA 19607-2375
Phone (585) 233-2817

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP031865PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Oct 19, 2024 Accepting new patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Geps Physician Group of Pennsylvania PC Nurse Practitioner CurrentSince Sep 28, 2022 Accepting new patients
Geps Physician Group of Pennsylvania, PC CurrentSince Sep 28, 2022 Accepting new patients
Alignmed Partners, PC CurrentSince Aug 28, 2022 Accepting new patients
Vital Healthcare Solutions CurrentSince Dec 1, 2022 Accepting new patients
Geps Physician Group of Pennsylvania, PC Past Accepting new patients

Locations

956 E Railroad Ave
Bryn Mawr, PA 19010
Phone (610) 525-8412

3485 Davisville Rd
Hatboro, PA 19040
Phone (215) 830-0400

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500

1194 Naamans Creek Rd
Marcus Hook, PA 19060
Phone (610) 358-6005

550 E Fornance St
Norristown, PA 19401
Phone (610) 272-5600

2004 Old Arch Rd
Norristown, PA 19401
Phone (610) 277-0380

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

5501 Perkiomen Ave
Reading, PA 19606
Phone (610) 779-0600

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

800 W Miner St
West Chester, PA 19382
Phone (484) 920-6200

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1083084701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 DOGWOOD CIR",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832526",
            "telephone_number": "484-645-2015",
            "fax_number": "757-432-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 DOGWOOD CIR",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832526",
            "telephone_number": "484-306-3126",
            "fax_number": "757-432-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015324",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CIVATTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.