Individual provider Active NPI

Danielle Elise Weishaar

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1235884362
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217731 Issued in AR
Practice address
11900 Colonel Glenn Rd Ste 2000
Little Rock, AR 72210-2829
Phone
(501) 202-7474
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 217731 AR Primary

Addresses

Primary practice location

11900 Colonel Glenn Rd Ste 2000
Little Rock, AR 72210-2829

Mailing address

2061 Mount Carmel Rd
Cabot, AR 72023-8350
Phone (501) 424-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220808000939 AR Practitioner - Nurse Practitioner 3678955614 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217731ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Single Specialty CurrentSince Jun 3, 2022 Accepting new patients
Baptist Health CurrentSince Jun 3, 2022 Accepting new patients

Locations

11900 Colonel Glenn Rd
Ste 2000
Little Rock, AR 72210
Phone (501) 202-7474

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1235884362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 MOUNT CARMEL RD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238350",
            "telephone_number": "501-424-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 COLONEL GLENN RD STE 2000",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722102829",
            "telephone_number": "501-202-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISHAAR",
        "first_name": "DANIELLE",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.