Individual provider Active NPI

Danielle C Elliott, M.S.N., C.R.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Florence, AL
National Provider Identifier
1265520035
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1-055267 Issued in AL
Practice address
156 Titan Dr
Florence, AL 35630-1197
Phone
(256) 740-0690
Fax
(256) 740-0694
NPI assigned
Oct 10, 2006
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1-055267 AL Primary

Addresses

Primary practice location

156 Titan Dr
Florence, AL 35630-1197

Mailing address

156 Titan Dr
Florence, AL 35630-1197
Phone (256) 740-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190104002239 AL Practitioner - Nurse Practitioner 0345586723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florence OB/GYN Group, PCGroup PAC ID 3577580075, 4 clinicians

Practice addresses (Care Compare)

156 Titan Dr
Florence, AL 35630-1197
Phone (256) 740-0690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1-055267ALMDObstetrics & Gynecology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: delliott@flwp-al.direct.office.nextgen.com

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1265520035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 TITAN DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301197",
            "telephone_number": "256-740-0690",
            "fax_number": "256-740-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 TITAN DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301197",
            "telephone_number": "256-740-0690",
            "fax_number": "256-740-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DANIELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "M.S.N., C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1-055267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.