Danielle Vann

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1595 Issued in NM

Practice address

1910 Avenida Las Campanas NW
Los Ranchos, NM 87107-3204

Phone

(505) 908-0717

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1194316844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 POJOAQUE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204475",
            "telephone_number": "505-218-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 AVENIDA LAS CAMPANAS NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871073204",
            "telephone_number": "505-908-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Cloe Tibbetts, M.S. CCC-SLP
• Lisa Marie Trujillo, DC
• TW Wellness
• Victoria Lorraine Valles-Mora, MA, LPCC
• Sherilyn N Valles
• Dominic D Villanueva, DOM
• Mary J Vitt, AUD., CCC-A
• Sally Belle Von Erffa, LMFT
• Walgreen Co (Walgreens #07735)
• Dominic Weiler, FNP

• Physical Therapy Assistant in Los Ranchos, NM
• Providers in Los Ranchos, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.