Individual provider Active NPI

Anne E Daniels, CNP

  • Women's Health Nurse Practitioner
  • Farmington, NM
National Provider Identifier
1316959844
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
CAPN0001547CNP Issued in CO
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R5094MedicaidNM
9000173842MedicaidCO

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

LicenseStateTypeSpecialty
CAPN0001547CNPCOMDWomen's Health Nurse Practitioner
APRN-CNP01332NMMDWomen's Health Nurse Practitioner
R55481NMMDWomen's Health Nurse Practitioner
APRNCNP823912NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zuni Indian Hospital PastSince Oct 18, 2010 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.

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.

Verify at the official NPI Registry.