Individual provider Active NPI

Alexandra Danko, NP

  • Pediatric Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1285120634
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704304006NSA18750 Issued in MI
Practice address
5500 Auto Club Dr Ste 160
Dearborn, MI 48126-2779
Phone
(734) 512-8291
NPI assigned
Jul 9, 2018
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704304006NSA18750 MI Primary

Addresses

Primary practice location

5500 Auto Club Dr Ste 160
Dearborn, MI 48126-2779

Mailing address

708 York St
Plymouth, MI 48170-1483
Phone (734) 512-8291

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajones365956@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704304006NSA18750MIMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ajones365956@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1285120634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 YORK ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701483",
            "telephone_number": "734-512-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 AUTO CLUB DR STE 160",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262779",
            "telephone_number": "734-512-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKO",
        "first_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704304006NSA18750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajones365956@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "5500 Auto Club Dr Ste 160",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481262779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.