Individual provider Active NPI

Danielle Ebert, RN

  • Registered Nurse
  • Tempe, AZ
National Provider Identifier
1336721984
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
251981 Issued in AZ
Practice address
4041 S McClintock Dr Ste 302
Tempe, AZ 85282-5879
Phone
(480) 339-1780
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.450516 IL
Registered Nurse 163W00000X 251981 AZ Primary

Addresses

Primary practice location

4041 S McClintock Dr Ste 302
Tempe, AZ 85282-5879

Mailing address

16701 91St Ave
Orland Hills, IL 60487-6074

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danielle.e@adobecw.com

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
251981AZMDRegistered Nurse
041.450516ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group CurrentSince Aug 28, 2022 Accepting new patients
Adobe Care and Wellness LLC PastSince Aug 28, 2022 Accepting new patients

Locations

4041 S McClintock Dr
Ste 302
Tempe, AZ 85282
Phone (520) 233-7111

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1336721984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16701 91ST AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604876074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "480-339-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "DANIELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.450516",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "251981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle.e@adobecw.com",
            "affiliation": "N",
            "address_1": "4041 S McClintock Dr Ste 302",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852825879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.