Danielle Dearden, MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

10384137-4810 Issued in UT

Practice address

1435 Village Dr Dept 2805
Ogden, UT 84408-2805

Phone

(801) 626-7656

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Morgan Physical Therapy & Fitness Center Inc

  • Physical Therapist
  • Morgan, UT
  • NPI 1134273220
  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1083089403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N COMMERCIAL ST",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509570",
            "telephone_number": "801-845-1403",
            "fax_number": "801-845-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 VILLAGE DR DEPT 2805",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844082805",
            "telephone_number": "801-626-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDEN",
        "first_name": "DANIELLE",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "10384137-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Gael Dayton, MD
• Daywest Healthcare Services Inc.
• Daywest Healthcare Services, Inc.
• De Moisy Healthcare, Inc.
• Gabrielle Dean
• Debra Lynn'S LLC
• Derek Debruin
• Braxton Defriez, PHARMD
• Justin Richard Degooyer, APRN
• Cassandra Lenore Degroot

• Athletic Trainer in Ogden, UT
• Providers in Ogden, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.