Individual provider Active NPI

Danielle R Thompson, APN

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1144767112
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00695800 Issued in NJ
Practice address
2311 Cottman Ave Ste 71
Philadelphia, PA 19149-1007
Phone
(215) 444-7505
Fax
(215) 695-2919
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR14678000 NJ
Family Nurse Practitioner 363LF0000X 26NJ00695800 NJ Primary

Addresses

Primary practice location

2311 Cottman Ave Ste 71
Philadelphia, PA 19149-1007

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (773) 352-1515

Other practice location 1

3110 Route 38
Mount Laurel, NJ 08054-9724
Phone (856) 235-7126

Other practice location 2

433 Bellevue Ave Fl 4
Trenton, NJ 08618-4514
Phone (609) 278-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20170823000179 NJ Practitioner - Nurse Practitioner 2769754910 Reassigns benefits to 4 organizations
I20250312003361 PA Practitioner - Nurse Practitioner 2769754910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR14678000NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of New Jersey, LLC CurrentSince Jan 28, 2021 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Jan 28, 2021 Accepting new patients
Azz Medical Associates PC CurrentSince Feb 26, 2024 Accepting new patients
Live Urgent Care LLC CurrentSince Nov 1, 2022 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Mar 17, 2025 Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients
Capital Health System Inc Past Accepting new patients
Capital Health System, Inc. Past Accepting new patients

Locations

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

800 Denow Rd
Ste U
Pennington, NJ 08534
Phone (609) 737-8130

46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

2311 Cottman Ave
Ste 71
Philadelphia, PA 19149
Phone (215) 444-7505

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1144767112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 COTTMAN AVE STE 71",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491007",
            "telephone_number": "215-444-7505",
            "fax_number": "215-695-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Route 38",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080549724",
            "country_code": "US",
            "telephone_number": "856-235-7126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Bellevue Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086184514",
            "country_code": "US",
            "telephone_number": "609-278-5900",
            "fax_number": "609-396-1526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14678000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00695800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.