NPIMap

Individual provider Active NPI

Danielle Ann Whitacre, M.D.

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1134316540
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CDRH.0046039 Issued in CO
Practice address
12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736
Phone
(303) 993-1330
Fax
(303) 957-5757
NPI assigned
Sep 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CDRH.0046039 CO Primary

Addresses

Primary practice location

12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736

Mailing address

12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736
Phone (303) 993-1330

Other practice location 1

10900 W 44th Ave Unit 200
Wheat Ridge, CO 80033-2742
Phone (303) 993-1330

Other practice location 2

8000 W Interstate 10 Ste 240
San Antonio, TX 78230-3868
Phone (210) 903-0000

Other identifiers 3

IdentifierTypeStateIssuer
CDRH.0046039OtherCOCOLORADO STATE LICENSE
DR0046039OtherCOCOLORADO STATE LICENSE
R4658OtherTXTEXAS STATE LICENSE

Other names 1

  • Dr. Danielle Ann Whitacre Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, MO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091002000338 CO Practitioner - Family Practice 7517003601 Reassigns benefits to 1 organization
I20240626000577 TX Practitioner - Family Practice 7517003601 Reassigns benefits to 1 organization
I20260415000424 MO Practitioner - Family Practice 7517003601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Primary Mo, LLCGroup PAC ID 2062997638, 4 clinicians
Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Bloom Physician Housecalls PAGroup PAC ID 9032653563, 12 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63141
Phone (720) 923-1250

12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250

22 S Adams St
Denver, CO 80209-2908
Phone (303) 321-2452

8000 W Interstate 10
Suite 201
San Antonio, TX 78230-3879
Phone (720) 923-1250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDRH.0046039COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Primary Mo, LLC Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
Bloom Physician Housecalls PA Family Medicine CurrentSince Jun 7, 2024 Accepting new patients
Physician Housecalls LLC CurrentSince Jan 12, 2013 Accepting new patients
Bloom Primary Mo II, LLC PastSince Mar 1, 2026 Accepting new patients

Locations

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

1526 Cole Blvd
Ste 300
Lakewood, CO 80401
Phone (303) 379-9371

10900 W 44th Ave
Ste 201
Wheat Ridge, CO 80033

10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371

540 Maryville Centre Dr
Ste 340
Saint Louis, MO 63141
Phone (314) 333-6000

8000 W Interstate 10
Ste 240
San Antonio, TX 78230
Phone (210) 903-0000

8000 W Interstate 10
Ste 201
San Antonio, TX 78230
Phone (210) 500-3030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

Organizations & group practices 5

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.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1134316540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE B200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153736",
            "telephone_number": "303-993-1330",
            "fax_number": "303-284-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE B200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153736",
            "telephone_number": "303-993-1330",
            "fax_number": "303-957-5757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10900 W 44th Ave Unit 200",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800332742",
            "country_code": "US",
            "telephone_number": "303-993-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 W Interstate 10 Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782303868",
            "country_code": "US",
            "telephone_number": "210-903-0000",
            "fax_number": "210-944-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "DANIELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0046039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "CDRH.0046039",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE",
            "identifier": "DR0046039",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "R4658",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "ANDERSON",
            "middle_name": "ANN WHITACRE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.