Individual provider Active NPI

Danielle Marie Durnan, FNP-C

  • Family Nurse Practitioner
  • Dewey, AZ
National Provider Identifier
1306181656
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235161 Issued in AZ
Practice address
12075 E State Route 69
Dewey, AZ 86327-4517
Phone
(928) 772-1673
NPI assigned
Nov 27, 2012
Last updated
May 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217000693 AZ Practitioner - Nurse Practitioner 0749617546 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yavapai Family Medical PLLC Family CurrentSince Jul 15, 2024 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Feb 6, 2020 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

  • Direct secure messaging: danielle.durnan.1@26248.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.