Active NPI
Danene Kirksey
- Home Health Clinical Nurse Specialist
- Canton, OH
National Provider Identifier
1336428713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Clinical Nurse Specialist
- License
- 401155351010
- Practice address
- 2323 Penn Place Northeast
Canton, OH 44704 - Phone
- (330) 453-3336
- NPI assigned
- Aug 16, 2011
- Last updated
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Clinical Nurse Specialist | 364SH0200X | 401155351010 | OH | Primary |
Addresses
Primary practice location
2323 Penn Place Northeast
Canton, OH 44704
Mailing address
2323 Penn Place Northeast
Canton, OH 44704
Phone (330) 453-3336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401155351010 | OH | MD | Home Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1336428713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 PENN PLACE NORTHEAST",
"city": "CANTON",
"state": "OH",
"postal_code": "44704",
"telephone_number": "330-453-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 PENN PLACE NORTHEAST",
"city": "CANTON",
"state": "OH",
"postal_code": "44704",
"telephone_number": "330-453-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKSEY",
"first_name": "DANENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "364SH0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Home Health",
"state": "OH",
"license": "401155351010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.