Individual provider Active NPI

Danielle Holley Whitley, MD

  • Emergency Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1275824435
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
66121 Issued in TN
Practice address
939 Caroline St
Port Angeles, WA 98362
Phone
(360) 417-7000
Fax
(360) 452-5772
NPI assigned
Apr 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 67174 AZ
Emergency Medicine Physician 207P00000X C0755 KY
Emergency Medicine Physician 207P00000X MD60476134 WA
Emergency Medicine Physician 207P00000X 66121 TN Primary

Addresses

Primary practice location

939 Caroline St
Port Angeles, WA 98362

Mailing address

PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 417-7000

Other names 1

  • Danielle Holley Carroll Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150620000024 WA Practitioner - Emergency Medicine 0941443865 Reassigns benefits to 3 organizations
I20220706002238 AZ Practitioner - Emergency Medicine 0941443865 Reassigns benefits to 2 organizations
I20230530001328 TN Practitioner - Emergency Medicine 0941443865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Washington Emergency Physicians PLLCGroup PAC ID 0749514735, 78 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

14815 Pacific Ave S
Tacoma, WA 98444-4654
Phone (253) 697-8660

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
67.35
Improvement activities
40
Cost
85.26

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67174AZMDEmergency Medicine Physician
66121TNMDEmergency Medicine Physician
MD60476134WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Jun 1, 2015 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Apr 22, 2023 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince Dec 29, 2015 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Jun 22, 2022 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Jul 24, 2023 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jun 1, 2015 Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1275824435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-417-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "98362",
            "telephone_number": "360-417-7000",
            "fax_number": "360-452-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "DANIELLE",
        "middle_name": "HOLLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "67174",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C0755",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60476134",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "66121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CARROLL",
            "middle_name": "HOLLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.