Individual provider Active NPI

Danielle Michelle Lagoski, M.D.

  • Family Medicine Physician
  • Millington, TN
National Provider Identifier
1437441706
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A141473 Issued in CA
Practice address
5722 Integrity Dr
Millington, TN 38054-5028
Phone
(901) 874-9464
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101252520 VA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A141473 CA Primary

Addresses

Primary practice location

5722 Integrity Dr
Millington, TN 38054-5028

Mailing address

5722 Integrity Dr # 784
Millington, TN 38054-5028
Phone (571) 344-9714

Other practice location 1

1998 Hill Ave
Quantico, VA 22134
Phone (703) 619-5424

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A141473CAMDFamily Medicine Physician
0101252520VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1437441706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR # 784",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "571-344-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 INTEGRITY DR",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380545028",
            "telephone_number": "901-874-9464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1998 Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Quantico",
            "state": "VA",
            "postal_code": "22134",
            "country_code": "US",
            "telephone_number": "703-619-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGOSKI",
        "first_name": "DANIELLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252520",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A141473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.