Individual provider Active NPI

Natalie Houston Daniels, M.D.

  • Dermatology Physician
  • Louisville, KY
National Provider Identifier
1396880019
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R0692 Issued in KY
Practice address
13802 Lake Point Cir Ste 201
Louisville, KY 40223-4219
Phone
(502) 245-4450
Fax
(502) 245-4462
NPI assigned
Feb 20, 2007
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R0692 KY Primary

Addresses

Primary practice location

13802 Lake Point Cir Ste 201
Louisville, KY 40223-4219

Mailing address

13802 Lake Point Cir Ste 201
Louisville, KY 40223-4219
Phone (502) 245-4450

Other identifiers 4

IdentifierTypeStateIssuer
9703140OtherKYAETNA
41083OtherKYLICENSE
000000569365OtherKYANTHEM
P00689182OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080605000651 KY Practitioner - Dermatology 3577633387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians

Practice addresses (Care Compare)

13802 Lake Point Cir
Suite 201
Louisville, KY 40223-4219
Phone (217) 729-7868

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions136
Removal or shaving of skin growth1-10
Skin biopsy24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R0692KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Jul 28, 2022 Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Jul 28, 2022 Accepting new patients
Associates in Dermatology, PLLC Dermatology PastSince May 1, 2016 Accepting new patients

Locations

114 Manor Ave
Bardstown, KY 40004
Phone (217) 729-7868

13802 Lake Point Cir
#102
Louisville, KY 40223
Phone (217) 729-7664

13802 Lake Point Cir
Ste 201
Louisville, KY 40223
Phone (217) 729-7868

Interoperability endpoints

  • Direct secure messaging: ndaniels@vitalskinderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1396880019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 LAKE POINT CIR STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234219",
            "telephone_number": "502-245-4450",
            "fax_number": "502-245-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 LAKE POINT CIR STE 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234219",
            "telephone_number": "502-245-4450",
            "fax_number": "502-245-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "NATALIE",
        "middle_name": "HOUSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "R0692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9703140",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "41083",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000569365",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00689182",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.