Individual provider Active NPI

Lianna Mary Danielson, FNP-C

  • Family Nurse Practitioner
  • Bigfork, MT
National Provider Identifier
1437376134
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29924 Issued in MT
Practice address
191 Jewell Basin CT
Suite 2a
Bigfork, MT 59911-6290
Phone
(406) 837-4357
Fax
(406) 837-3957
NPI assigned
Apr 20, 2007
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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 29924 MT Primary

Addresses

Primary practice location

191 Jewell Basin CT
Suite 2a
Bigfork, MT 59911-6290

Mailing address

415 Lake Loop Dr
Kalispell, MT 59901-8705
Phone (406) 257-5881

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
29924MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bigfork Health and Wellness Inc Family Past Accepting new patients
Bigfork Family Practice LLC Past Accepting new patients

Organizations & group practices 2

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1437376134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LAKE LOOP DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018705",
            "telephone_number": "406-257-5881",
            "fax_number": "406-257-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 JEWELL BASIN CT",
            "address_2": "SUITE 2A",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599116290",
            "telephone_number": "406-837-4357",
            "fax_number": "406-837-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "LIANNA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "29924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bigfork, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.