Individual provider Active NPI

Danielle Jaworski Howell, NP

  • Family Nurse Practitioner
  • Lakeland, TN
National Provider Identifier
1366785677
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17293 Issued in TN
Practice address
2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone
(901) 388-0115
Fax
(901) 385-7924
NPI assigned
Apr 4, 2013
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17293 TN Primary

Addresses

Primary practice location

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893

Mailing address

PO Box 1000
Dept 978
Memphis, TN 38148-0001
Phone (901) 388-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130621000258 TN Practitioner - Nurse Practitioner 5294974390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

2961 Canada Rd
Suite 105
Lakeland, TN 38002-4893
Phone (901) 388-0115

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17293TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Urgent Care LLC CurrentSince May 1, 2016 Accepting new patients
Primary Care Group LLC Family CurrentSince Nov 7, 2016 Accepting new patients
First Choice Wellness PLLC PastSince Jun 16, 2026 Accepting new patients

Locations

472 W Poplar Ave
Ste 100
Collierville, TN 38017
Phone (901) 854-5771

472 W Poplar Ave
Ste 201
Collierville, TN 38017
Phone (901) 854-5771

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

Interoperability endpoints

  • Direct secure messaging: dhowell25143@mlh.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/26685/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1366785677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 978",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-388-0115",
            "fax_number": "901-385-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 CANADA RD",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024893",
            "telephone_number": "901-388-0115",
            "fax_number": "901-385-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "DANIELLE",
        "middle_name": "JAWORSKI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, TN

Sources for this page

Verify at the official NPI Registry.