Individual provider Active NPI

Danielle Reale, R.N.F.A.

  • Registered Nurse First Assistant
  • Anaheim, CA
National Provider Identifier
1215224555
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
708943 Issued in CA
Practice address
711 S Glenhurst Dr
Anaheim, CA 92808-1928
Phone
(714) 925-9337
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 708943 CA Primary

Addresses

Primary practice location

711 S Glenhurst Dr
Anaheim, CA 92808-1928

Mailing address

711 S Glenhurst Dr
Anaheim, CA 92808-1928
Phone (714) 925-9337

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

State licenses

LicenseStateTypeSpecialty
708943CAMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1215224555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S GLENHURST DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081928",
            "telephone_number": "714-925-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S GLENHURST DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081928",
            "telephone_number": "714-925-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "R.N.F.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "708943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.