Active NPI
Danielle Marie Durnan, FNP-C
- Family Nurse Practitioner
- Dewey, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 235161
- Practice address
- 12075 E State Route 69
Dewey, AZ 86327-4517 - Phone
- (928) 772-1673
- NPI assigned
- Nov 27, 2012
- Last updated
- May 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 235161 | AZ | Primary |
| School Registered Nurse | 163WS0200X | RN175633 | AZ |
Addresses
Primary practice location
12075 E State Route 69
Dewey, AZ 86327-4517
Mailing address
12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Family Medical PLLC | Family | Current | Accepting new patients |
| Prescott Healthcare Solutions LLC | Family | Current | Accepting new patients |
| Arizona Adult and Pediatric Medicine PC | Past | Accepting new patients |
Locations
12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488
743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000
3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583
7750 E Florentine Rd
#A
Prescott Vly, AZ 86314
Phone (928) 277-1211
Interoperability endpoints
- danielle.durnan.1@26248.direct.athenahealth.com
- https://api.platform.athenahealth.com/26248/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Optima Medical
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
- Family Nurse Practitioner
- Prescott Valley, AZ
- NPI 1326786906
-
- Internal Medicine Physician
- Prescott, AZ
- NPI 1225212905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588377600000",
"number": "1306181656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12075 E STATE ROUTE 69",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863274517",
"telephone_number": "928-772-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12075 E STATE ROUTE 69",
"city": "DEWEY",
"state": "AZ",
"postal_code": "863274517",
"telephone_number": "928-772-1673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURNAN",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "235161",
"primary": true
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "AZ",
"license": "RN175633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dewey, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.