Individual provider Active NPI

Danielle Johnson, NP

  • Family Nurse Practitioner
  • Binghamton, NY
National Provider Identifier
1215592878
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344929 Issued in NY
Practice address
303 Main St
Binghamton, NY 13905-2579
Phone
(607) 340-1870
NPI assigned
May 8, 2019
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 344929 NY Primary

Addresses

Primary practice location

303 Main St
Binghamton, NY 13905-2579

Mailing address

33 Lewis Rd
2ND FL
Binghamton, NY 13905

Other practice location 1

800 Hooper Rd
Endwell, NY 13760-1592
Phone (607) 757-0444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danielle.dollaway@direct.lourdes.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191022001004 NY Practitioner - Nurse Practitioner 1456683622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

105 Ridgehaven Dr
Vestal, NY 13850-2640
Phone (607) 786-4822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344929NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 17, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 17, 2022 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Sep 16, 2019 Accepting new patients
United Medical Associates, P.C. PastSince Sep 16, 2019 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

303 Main St
Binghamton, NY 13905
Phone (607) 729-8687

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

105 Ridgehaven Dr
Vestal, NY 13850
Phone (607) 786-4822

Interoperability endpoints

  • Direct secure messaging: djohnson196729@direct-guthrie.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1215592878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "2ND FL",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052579",
            "telephone_number": "607-340-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hooper Rd",
            "address_purpose": "LOCATION",
            "city": "Endwell",
            "state": "NY",
            "postal_code": "137601592",
            "country_code": "US",
            "telephone_number": "607-757-0444",
            "fax_number": "607-748-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle.dollaway@direct.lourdes.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "303 Main St",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139052579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.