Individual provider Active NPI

Danielle Sheree Sage

  • General Practice Registered Nurse
  • Niobrara, NE
National Provider Identifier
1306675723
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
96752 Issued in NE
Practice address
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone
(402) 857-2300
Fax
(402) 857-2910
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 96752 NE Primary

Addresses

Primary practice location

110 S Visiting Eagle St
Niobrara, NE 68760-7201

Mailing address

110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone (402) 857-2300

Other names 1

  • Danielle Sheree Simone 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
96752NEMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1306675723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2300",
            "fax_number": "402-857-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGE",
        "first_name": "DANIELLE",
        "middle_name": "SHEREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NE",
            "license": "96752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SIMONE",
            "middle_name": "SHEREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niobrara, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.