Individual provider Active NPI

Loyce Michelle Daniels, CNP

  • Nurse Practitioner
  • Midland, TX
National Provider Identifier
1194320465
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1020638 Issued in TX
Practice address
2012 W Ohio Ave
Midland, TX 79701-5946
Phone
(432) 686-6605
Fax
(432) 682-2284
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1020638 TX Primary

Addresses

Primary practice location

2012 W Ohio Ave
Midland, TX 79701-5946

Mailing address

9102 Dublin Ave
Odessa, TX 79765-1445
Phone (432) 230-6322

Other identifiers 1

IdentifierTypeStateIssuer
1020638OtherTXSTATE LICENSE

Other names 1

  • Michelle Daniels Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.daniels.1@3522.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210301002148 TX Practitioner - Nurse Practitioner 2961818893

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1020638TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1194320465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 DUBLIN AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651445",
            "telephone_number": "432-230-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 W OHIO AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015946",
            "telephone_number": "432-686-6605",
            "fax_number": "432-682-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LOYCE",
        "middle_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1020638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1020638",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.daniels.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2012 W Ohio Ave",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DANIELS",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.