Danielle N Davidson, NP
Individual provider Active NPI Nurse Practitioner · Indianapolis, IN
NPI 1366477820 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1366477820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71002105 (IN)
- Practice address
- 8402 Harcourt Rd Ste 125
Indianapolis, IN 46260-2094 - Phone
- (317) 802-2000
- Fax
- (317) 802-3972
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedics-Indianapolis Inc
Cutting Edge Physical Therapy Limited Partnership
Practice addresses (Care Compare)
13430 N Meridian St
Suite 367
Carmel, IN 46032-1484
Phone (317) 884-5200
2390 National Rd W
Richmond, IN 47374-4625
8402 Harcourt Rd
Suite 125
Indianapolis, IN 46260-2094
Phone (317) 802-2000
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Hospital & facility affiliations
- Orthoindy Hospital
- Riverview Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.84 of 100
- Quality
- 52.64
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 73.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070712000090 | IN | Practitioner - Nurse Practitioner | 6002916624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002105 | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Current |
Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Nurse Practitioner | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Current |
Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
13430 N Meridian St
Ste 367
Carmel, IN 46032
Phone (317) 573-7050
10995 Allisonville Rd
Ste 102
Fishers, IN 46038
Phone (317) 915-8110
8402 Harcourt Rd
Ste 125
Indianapolis, IN 46260
Phone (317) 802-3281
1801 Senate Blvd
Ste 200
Indianapolis, IN 46202
Phone (317) 917-4183
8450 Northwest Blvd
Indianapolis, IN 46278
Interoperability endpoints
- danielledavidson@oi.allscriptsdirect.net
- danielle.davidson.1@29985.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002105 | IN | Yes |
Addresses
Primary practice location
8402 Harcourt Rd Ste 125
Indianapolis, IN 46260-2094
Mailing address
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Other practice location 1
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Phone (317) 802-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | danielle.davidson.1@29985.direct.athenahealth.com | Orthopaedics-Indianapolis, Inc |
NPI Registry JSON
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1366477820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8450 NORTHWEST BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781381",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8402 HARCOURT RD STE 125",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602094",
"telephone_number": "317-802-2000",
"fax_number": "317-802-3972"
}
],
"practiceLocations": [
{
"address_1": "8450 Northwest Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462781381",
"country_code": "US",
"telephone_number": "317-802-2000",
"fax_number": "317-802-2868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIDSON",
"first_name": "DANIELLE",
"middle_name": "N",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "danielle.davidson.1@29985.direct.athenahealth.com",
"affiliation": "Y",
"endpointDescription": "Athena address",
"affiliationName": "Orthopaedics-Indianapolis, Inc",
"address_1": "8402 Harcourt Rd Ste 125",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462602094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
- Davida LLC
- Rebecca J Davidhizar
- Steven P. Davidovich
- Ashleigh Davids
- Danielle Lynae Davidson
- Darrell Davidson
- Janet L. Davidson
- Jill Davidson
- Nicholas Richard Davidson
- Robyn Kimberly Davidson
All providers in Indianapolis, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.