Danielle M Larue

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

265608-1 Issued in NY

Practice address

114 Cassidy Rd
Hermon, NY 13652-3114

Phone

(315) 347-1386

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Danielle M Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1104007814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "RUSSELL",
            "state": "NY",
            "postal_code": "136840502",
            "telephone_number": "315-347-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CASSIDY RD",
            "city": "HERMON",
            "state": "NY",
            "postal_code": "136523114",
            "telephone_number": "315-347-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUE",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "265608-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02570414",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "ADAMS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Lynn Clary, LPN
• Charity Coller, OTR/L
• Hermon Family Health Care
• Hermon Volunteer Fire Department Inc
• Connie Jean Kavanagh, RN
• Rodney Perkins, RPH

• Licensed Practical Nurse in Hermon, NY
• Providers in Hermon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.