Danielle Lynn Samuelson, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71011130A Issued in IN

Practice address

421 S College Ave
Bloomington, IN 47403-1592

Phone

(812) 670-9087

NPI assigned

Jan 30, 2019

Last updated

May 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky

  dba Planned Parenthood of Indiana and Kentucky

  • Non-Surgical Family Planning Clinic/Center
  • Indianapolis, IN
  • NPI 1891743092
  NPD
• Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky

  • Non-Surgical Family Planning Clinic/Center
  • Honolulu, HI
  • NPI 1558424473

  Women's Health

  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1174087555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474031514",
            "telephone_number": "812-670-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474031592",
            "telephone_number": "812-670-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71011130A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "71011130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam's Club Optical (Sam's Club Optical 30-6437)
• Sam's Club Pharmacy
• Bethany Sammons, LSW
• Perry Sampanis, O.D.
• Sams East Inc (Sams Pharmacy 10-6437)
• Gabrielle Sanburn
• Ava Sanchez
• Beatriz Sanchez, MD
• Colte Davis Sanders, LCSW, LCAC
• Destini-Noel Sanders

• Women's Health Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.