Individual provider Active NPI

Noelle Daniels, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1326043670
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2858 Issued in AZ
Practice address
8573 E Princess Dr
Suite #B215
Scottsdale, AZ 85255-7819
Phone
(480) 563-5757
Fax
(480) 563-5851
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2858 AZ Primary

Addresses

Primary practice location

8573 E Princess Dr
Suite #B215
Scottsdale, AZ 85255-7819

Mailing address

PO Box 11128
Tacoma, WA 98411-0128
Phone (253) 272-8148

Other identifiers 2

IdentifierTypeStateIssuer
615401MedicaidAZ
2858OtherAZAZ LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060104000560 AZ Practitioner - Physician Assistant 6204859341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2858AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists Arizona PC Past Accepting new patients

Organizations & group practices 1

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1326043670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11128",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984110128",
            "telephone_number": "253-272-8148",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 E PRINCESS DR",
            "address_2": "SUITE #B215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557819",
            "telephone_number": "480-563-5757",
            "fax_number": "480-563-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "NOELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615401",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE #",
            "identifier": "2858",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.