Tambra Renee Daniels, APNP, FN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8930-33 Issued in WI

Practice address

1820 Center Ave
Janesville, WI 53546-2802

Phone

(608) 755-1475

Fax

(608) 755-1733

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Kenosha Community Health Center, Inc.Group PAC ID 0941195168, shared by 5 NPIs, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tdaniels619039@direct.ochin.org

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.

• Kenosha Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kenosha, WI
  • NPI 1265435960
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL, WI

  Medicare reassignment NPD
• Kenosha Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Kenosha, WI
  • NPI 1770789489
  NPD
• Kenosha Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Racine, WI
  • NPI 1215823406
  NPD
• Rock Valley Community Programs, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1134306293
  NPD

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1376012070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMPASS BEHAVIORAL HEALTH CLINIC",
            "address_2": "1820 CENTER AVENUE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53546",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTER AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462802",
            "telephone_number": "608-755-1475",
            "fax_number": "608-755-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537045930",
            "country_code": "US",
            "telephone_number": "800-963-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "TAMBRA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "APNP, FN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8930-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Valant",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1820 Center Ave",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535462802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Damrow Chiropractic Office, SC
• James Mark Damrow, D.C,
• John Damrow, DC
• Daniel & Max, LLC
• Nausheen Pearl Daniel, DMD
• Mark William Dantuma, APNP
• Dara Roots Therapy LLC
• Kevin J Dardis, DO
• Sandra M Dardis, CRNA
• James C. Darsie, MD

• Family Nurse Practitioner in Janesville, WI
• Providers in Janesville, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.