Individual provider Active NPI

Danielle Williams McDonald, RN

  • Home Health Registered Nurse
  • Monroe, LA
National Provider Identifier
1386465490
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN126605 Issued in LA
Practice address
1651 Louisville Ave Ste 128
Monroe, LA 71201-6040
Phone
(318) 582-5069
Fax
(318) 582-5220
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN126605 LA
Community Health Registered Nurse 163WC1500X RN126605 LA
High-Risk Obstetric Registered Nurse 163WX0002X RN126605 LA
Home Health Registered Nurse 163WH0200X RN126605 LA Primary

Addresses

Primary practice location

1651 Louisville Ave Ste 128
Monroe, LA 71201-6040

Mailing address

PO Box 2571
Monroe, LA 71207-2571
Phone (318) 582-5069

Other identifiers 1

IdentifierTypeStateIssuer
RN126605OtherLARN LICENSE LOUISIANA

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
RN126605LAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1386465490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2571",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712072571",
            "telephone_number": "318-582-5069",
            "fax_number": "318-582-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 LOUISVILLE AVE STE 128",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016040",
            "telephone_number": "318-582-5069",
            "fax_number": "318-582-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DANIELLE",
        "middle_name": "WILLIAMS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "LA",
            "license": "RN126605",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN126605",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "LA",
            "license": "RN126605",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "LA",
            "license": "RN126605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE LOUISIANA",
            "identifier": "RN126605",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.