Individual provider Active NPI

Danniell Hope Stevenson, LPN

  • Licensed Practical Nurse
  • Massillon, OH
National Provider Identifier
1285303495
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
175456 Issued in OH
Practice address
2520 Wales Ave NW Ste 100
Massillon, OH 44646-2398
Phone
(234) 262-1112
Fax
(330) 837-2341
NPI assigned
Sep 10, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 175456 OH Primary

Addresses

Primary practice location

2520 Wales Ave NW Ste 100
Massillon, OH 44646-2398

Mailing address

2520 Wales Ave NW Ste 100
Massillon, OH 44646-2398
Phone (234) 262-1112

Other names 1

  • Danniell Hope Williams Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
175456OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Treatment Center, LLC PastSince Sep 12, 2021 Accepting new patients
Ohio Treatment Center, LLC PastSince Sep 12, 2021 Accepting new patients

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1285303495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WALES AVE NW STE 100",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462398",
            "telephone_number": "234-262-1112",
            "fax_number": "330-837-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WALES AVE NW STE 100",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462398",
            "telephone_number": "234-262-1112",
            "fax_number": "330-837-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "DANNIELL",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "175456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNIELL",
            "last_name": "WILLIAMS",
            "middle_name": "HOPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.