Pheba Daniel

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP126974 Issued in TX

Practice address

901 N Galloway Ave
Ste 107
Mesquite, TX 75149-2493

Phone

(972) 216-5152

NPI assigned

Dec 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gideon Healthcare Group Inc.

  dba Angel Home Healthcare Services

  • Home Health Agency
  • Mesquite, TX
  • NPI 1245405653
  NPD

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

{
    "created_epoch": "1419465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419465600000",
    "number": "1215325394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BANDERA LN",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824611",
            "telephone_number": "214-695-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N GALLOWAY AVE",
            "address_2": "STE 107",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492493",
            "telephone_number": "972-216-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "PHEBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-25",
        "last_updated": "2014-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP126974",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP126974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Pharmaceutical Corporation (Galloway Pharmacy)
• Dallas Physician's Choice Homecare, LLC. (Physician's Choice Homecare)
• Gabriella Capuchina Danawala, OT
• Quinn Mong Dang, R.PH.
• Natalia Daniel
• April Marie Daniels
• Dana Kay Daniels, PTA
• Kimberly D Daniels, NA
• Gayla Dansby, RPH
• Margaret Dasari

• Adult Health Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2014; 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.