Individual provider Active NPI

Danielle Justice, APRN

  • Family Nurse Practitioner
  • Pikeville, KY
National Provider Identifier
1306609284
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4015868 Issued in KY
Practice address
131 Summit Dr FL 3
Pikeville, KY 41501-1580
Phone
(606) 430-2256
Fax
(606) 218-6577
NPI assigned
Feb 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4015868 KY Primary

Addresses

Primary practice location

131 Summit Dr FL 3
Pikeville, KY 41501-1580

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2256

Other practice location 1

404 Turkey Pen Rd
Virgie, KY 41572-8252
Phone (606) 422-0740

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djustice19694@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240426001859 KY Practitioner - Nurse Practitioner 6305286105 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4015868KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Mar 6, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Mar 6, 2024 Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

131 Summit Dr
Pikeville, KY 41501
Phone (606) 430-2256

131 Summit Dr
Fl 3
Pikeville, KY 41501
Phone (606) 218-2256

Interoperability endpoints

  • Direct secure messaging: djustice19694@pikevillekydirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1306609284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-2256",
            "fax_number": "606-218-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUMMIT DR FL 3",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011580",
            "telephone_number": "606-430-2256",
            "fax_number": "606-218-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Turkey Pen Rd",
            "address_purpose": "LOCATION",
            "city": "Virgie",
            "state": "KY",
            "postal_code": "415728252",
            "country_code": "US",
            "telephone_number": "606-422-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4015868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djustice19694@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "131 Summit Dr Fl 3",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.