Active NPI
Anne E Daniels, CNP
- Women's Health Nurse Practitioner
- Farmington, NM
National Provider Identifier
1316959844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- CAPN0001547CNP
- Practice address
- 2804 E 20TH St
PPRM
Farmington, NM 87401 - Phone
- (505) 327-0451
- Fax
- (505) 325-0933
- NPI assigned
- Aug 13, 2006
- Last updated
- Jan 22, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | APRN-CNP01332 | NM | |
| Women's Health Nurse Practitioner | 363LW0102X | 197751 | MA | |
| Women's Health Nurse Practitioner | 363LW0102X | R55481 | NM | |
| Women's Health Nurse Practitioner | 363LW0102X | APRNCNP823912 | NV | |
| Women's Health Nurse Practitioner | 363LW0102X | CAPN0001547CNP | CO | Primary |
Addresses
Primary practice location
2804 E 20TH St
PPRM
Farmington, NM 87401
Mailing address
730 Sunrise CT
Farmington, NM 87401
Phone (505) 325-5145
Other practice location 1
7155 E 38th Ave
Denver, CO 80207-1630
Phone (303) 321-2458
Other practice location 2
3220 W Charleston Blvd
Las Vegas, NV 89102-1932
Phone (702) 878-7776
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R5094 | Medicaid | NM | |
| 9000173842 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAPN0001547CNP | CO | MD | Women's Health Nurse Practitioner |
| APRN-CNP01332 | NM | MD | Women's Health Nurse Practitioner |
| R55481 | NM | MD | Women's Health Nurse Practitioner |
| APRNCNP823912 | NV | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuni Indian Hospital | Past | Accepting new patients | |
| Planned Parenthood of the Rocky Mountains, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Family Planning Facility
- Albuquerque, NM
- NPI 1851440945
-
- General Acute Care Hospital
- Zuni, NM
- NPI 1497843734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1316959844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 SUNRISE CT",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "87401",
"telephone_number": "505-325-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 E 20TH ST",
"address_2": "PPRM",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "87401",
"telephone_number": "505-327-0451",
"fax_number": "505-325-0933"
}
],
"practiceLocations": [
{
"address_1": "7155 E 38th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802071630",
"country_code": "US",
"telephone_number": "303-321-2458",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3220 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021932",
"country_code": "US",
"telephone_number": "702-878-7776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELS",
"first_name": "ANNE",
"middle_name": "E",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "APRN-CNP01332",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "197751",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NM",
"license": "R55481",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NV",
"license": "APRNCNP823912",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CO",
"license": "CAPN0001547CNP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R5094",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000173842",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.