Teri Waiala Daniels

Individual provider Active NPI Contractor · Grand Island, NE

NPI 1124954961 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1124954961
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
821 W Oklahoma Ave Ste 2
Grand Island, NE 68801-6781
Phone
(308) 381-1690
NPI assigned
Jun 19, 2026
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

821 W Oklahoma Ave Ste 2
Grand Island, NE 68801-6781

Mailing address

903 Road B Unit 10
Henderson, NE 68371-8951
Phone (785) 810-0077

Other names

  • Mrs. Waiala Daniels Professional name

Other providers in Grand Island, NE

All providers in Grand Island, NE · Contractor in Nebraska

Sources for this page

Verify at the official NPI Registry.