Individual provider Active NPI

Danielle Williams, A.P.R.N

  • Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1164809737
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209014671 Issued in IL
Practice address
4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone
(618) 233-3066
Fax
(618) 233-3180
NPI assigned
May 2, 2015
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209014671 IL Primary
Adult Health Nurse Practitioner 363LA2200X 209014671 IL
Adult Health Nurse Practitioner 363LA2200X 2015012086 MO

Addresses

Primary practice location

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359

Mailing address

PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 233-3066

Other practice location 1

3535 S Jefferson Ave
Suite 104
Saint Louis, MO 63118-3930
Phone (314) 449-1143

Other names 1

  • Danielle Keaton Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170119000271 MO Practitioner - Nurse Practitioner 9335421791 Reassigns benefits to 2 organizations
I20191105001405 IL Practitioner - Nurse Practitioner 9335421791 Reassigns benefits to 3 organizations
I20230208001870 PA Practitioner - Nurse Practitioner 9335421791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (800) 501-9855

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-4450

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4600 Memorial Dr
Belleville, IL 62226-5359

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Care LLC CurrentSince Dec 21, 2016 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Dec 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Nov 1, 2019 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Nov 1, 2019 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 25, 2020 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 25, 2020 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

3535 S Jefferson Ave
Ste 1
Saint Louis, MO 63118
Phone (314) 449-1143

3535 S Jefferson Ave
Ste 104
Saint Louis, MO 63118
Phone (314) 449-1143

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1164809737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "telephone_number": "618-233-3066",
            "fax_number": "618-233-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR STE W1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265359",
            "telephone_number": "618-233-3066",
            "fax_number": "618-233-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 S Jefferson Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631183930",
            "country_code": "US",
            "telephone_number": "314-449-1143",
            "fax_number": "314-449-1724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANIELLE",
        "name_prefix": "Prof.",
        "credential": "A.P.R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209014671",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209014671",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015012086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KEATON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.