Active NPI
Danielle Tilton, CNP
- Nurse Practitioner
- Chardon, OH
National Provider Identifier
1275068652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.019704
- Practice address
- 531 Fifth Ave
Chardon, OH 44024 - Phone
- (440) 285-2300
- Fax
- (440) 285-2320
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.019704 | OH | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.019704 | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.019704 | OH |
Addresses
Primary practice location
531 Fifth Ave
Chardon, OH 44024
Mailing address
531 Fifth Ave
Chardon, OH 44024
Phone (440) 285-2300
Other names 1
- Danielle Ljubi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Interoperability endpoints
- dtilton28080@ehrdirect.uhhospitals.org
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Chardon, OH
- NPI 1851494793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1275068652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FIFTH AVE",
"city": "CHARDON",
"state": "OH",
"postal_code": "44024",
"telephone_number": "440-285-2300",
"fax_number": "440-285-2320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FIFTH AVE",
"city": "CHARDON",
"state": "OH",
"postal_code": "44024",
"telephone_number": "440-285-2300",
"fax_number": "440-285-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "DANIELLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.019704",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.019704",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.019704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "LJUBI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.