Individual provider Active NPI

Danielle Nutting, CPRP, CPSS, BA

  • Rehabilitation Practitioner
  • Ontario, OR
National Provider Identifier
1184481764
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
4880890 Issued in ID
Practice address
390 NE 2ND St
Ontario, OR 97914-2513
Phone
(541) 889-1050
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X ID
Peer Specialist 175T00000X ID
Rehabilitation Practitioner 225400000X 4880890 ID Primary

Addresses

Primary practice location

390 NE 2ND St
Ontario, OR 97914-2513

Mailing address

PO Box V
Ontario, OR 97914-0076
Phone (541) 889-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

390 NE 2ND St
P.O. Box V
Ontario, OR 94914-0076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
4880890IDMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Place D/B/a TFP Services Therapeutic Case Manager/Care Coordinator PastSince Mar 3, 2024 Accepting new patients
TFP Therapeutic Service, Inc. PastSince Mar 3, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1184481764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX V",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979140076",
            "telephone_number": "541-889-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 2ND ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142513",
            "telephone_number": "541-889-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTING",
        "first_name": "DANIELLE",
        "credential": "CPRP, CPSS, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "ID",
            "license": "4880890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.