Individual provider Active NPI

Danielle Nikole Laidler, AG-CNS-BC

  • Clinical Nurse Specialist
  • Stockbridge, GA
National Provider Identifier
1386457802
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
RN231804 Issued in GA
Practice address
3386 Hidden Stream CT
Stockbridge, GA 30281-6932
Phone
(478) 244-1024
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364S00000X RN231804 GA Primary

Addresses

Primary practice location

3386 Hidden Stream CT
Stockbridge, GA 30281-6932

Mailing address

3386 Hidden Stream CT
Stockbridge, GA 30281-6932
Phone (478) 244-1024

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

LicenseStateTypeSpecialty
RN231804GAMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1386457802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 HIDDEN STREAM CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816932",
            "telephone_number": "478-244-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 HIDDEN STREAM CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816932",
            "telephone_number": "478-244-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDLER",
        "first_name": "DANIELLE",
        "middle_name": "NIKOLE",
        "credential": "AG-CNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "GA",
            "license": "RN231804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.