Danielle Perry, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0666 Issued in NH

Practice address

60 Commercial St
Suite 302
Concord, NH 03301-5071

Phone

(603) 230-1220

Fax

(603) 230-1210

NPI assigned

Apr 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Danielle Theriault Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH, MA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Carewell Urgent Care Centers of Ma, PCGroup PAC ID 7618124470, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

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.

• Carewell Urgent Care Centers of Ma, P.C

  dba CareWell Urgent Care

  • Urgent Care Clinic/Center
  • South Dennis, MA
  • NPI 1740543214
  Medicare reassignment Care Compare group NPD
• Clearchoicemd, PLLC

  • Urgent Care Clinic/Center
  • Berlin, VT
  • NPI 1851722417

  NH

  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  • Family Medicine Physician
  • Bedford, NH
  • NPI 1972559904
  Medicare reassignment NPD
• Alliance Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Goffstown, NH
  • NPI 1093295792
  Medicare reassignment
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• Carewell Urgent Care Centers of Ma, PC

  • Urgent Care Clinic/Center
  • Fitchburg, MA
  • NPI 1699121962
  NPD
• Granite State Emergency Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, NH
  • NPI 1619038023
  NPD (past)
• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1083736417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST",
            "address_2": "SUITE 302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015071",
            "telephone_number": "603-230-1220",
            "fax_number": "603-230-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCIAL ST",
            "address_2": "SUITE 302",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015071",
            "telephone_number": "603-230-1220",
            "fax_number": "603-230-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30336574",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00792153",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_ucbmp@gohnh.allscripts.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "THERIAULT",
            "prefix": "MS.",
            "credential": "MS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Performance Health Spine & Sport Therapy
• Thomas Perlet, MSW, LICSW
• Stacie Elaine Perlman, MD
• Tonya Anne Perrino, PA-C
• Susan Lynn Perron, PTA
• Gabrielle Perry, MS
• Kate Perry, BA
• Sherri Jean Perry, APRN
• Peter C Romanello DC PLLC
• Diamond Peters

• Physician Assistant in Concord, NH
• Providers in Concord, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.