Individual provider Active NPI

Donna D McDaniel, CRNA

  • Certified Registered Nurse Anesthetist
  • Siloam Springs, AR
National Provider Identifier
1316033020
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002968 Issued in AR
Practice address
603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone
(479) 215-3000
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C002968 AR Primary

Addresses

Primary practice location

603 N Progress Ave
Siloam Springs, AR 72761-4352

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

Other practice location 1

1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291

Other identifiers 2

IdentifierTypeStateIssuer
200496100AMedicaidOK
199923001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131031001381 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446274385 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince May 2, 2021 Accepting new patients
Capital Anesthesia Solutions of Arkansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 3, 2021 Accepting new patients
Fayetteville ASC LLC CurrentSince Dec 1, 2024 Accepting new patients
Sgoh Acquisition Inc CurrentSince May 2, 2021 Accepting new patients
Gastro Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 8, 2021 Accepting new patients
Parish Anesthesia of Monroe, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3700 SE Dodson Rd
Ste 4
Bentonville, AR 72712
Phone (479) 308-4300

3344 N Futrall Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 582-7280

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

Organizations & group practices 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1316033020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N PROGRESS AVE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614352",
            "telephone_number": "479-215-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Jackson St SW",
            "address_purpose": "LOCATION",
            "city": "Gravette",
            "state": "AR",
            "postal_code": "727369121",
            "country_code": "US",
            "telephone_number": "479-787-5291",
            "fax_number": "479-344-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "DONNA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200496100A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199923001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.