Individual provider Active NPI

Danielle Threats, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1083782361
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704360173 Issued in MI
Practice address
653 Charing Cross Dr
Grand Blanc, MI 48439-1595
Phone
(313) 399-2361
NPI assigned
Dec 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 191752 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704360173 MI Primary

Addresses

Primary practice location

653 Charing Cross Dr
Grand Blanc, MI 48439-1595

Mailing address

653 Charing Cross Dr
Grand Blanc, MI 48439-1595
Phone (313) 399-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260528001038 MA Practitioner - Nurse Practitioner 4486124781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

310 Barnstable Rd
Suite 201
Hyannis, MA 02601-2902
Phone (508) 862-0514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
191752TXMDLicensed Vocational Nurse
4704360173MIMDPsychiatric/Mental Health Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1083782361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 CHARING CROSS DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391595",
            "telephone_number": "313-399-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CHARING CROSS DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391595",
            "telephone_number": "313-399-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREATS",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "191752",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704360173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.