Active NPI
Danielle T Putrow, NP
- Psychiatric/Mental Health Nurse Practitioner
- Chandler, AZ
National Provider Identifier
1184635005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN097910
- Practice address
- 1600 W Chandler Blvd
Suite 250
Chandler, AZ 85224-6153 - Phone
- (480) 775-4240
- Fax
- (480) 775-8866
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN097910 | AZ | Primary |
Addresses
Primary practice location
1600 W Chandler Blvd
Suite 250
Chandler, AZ 85224-6153
Mailing address
1600 W Chandler Blvd
Suite 250
Chandler, AZ 85224-6153
Phone (480) 775-4240
Other names 1
- Danielle T Jury
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN097910 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L C Grissom and Associates PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chandler, AZ
- NPI 1033280359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1184635005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W CHANDLER BLVD",
"address_2": "SUITE 250",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246153",
"telephone_number": "480-775-4240",
"fax_number": "480-775-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W CHANDLER BLVD",
"address_2": "SUITE 250",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246153",
"telephone_number": "480-775-4240",
"fax_number": "480-775-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTROW",
"first_name": "DANIELLE",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "RN097910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "JURY",
"middle_name": "T",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.