Individual provider Active NPI

Danielle A Vandergriff, NP

  • Family Nurse Practitioner
  • Soddy Daisy, TN
National Provider Identifier
1437558731
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19061 Issued in TN
Practice address
210 Walmart Drive
Soddy Daisy, TN 37379
Phone
(423) 332-6155
Fax
(423) 332-5293
NPI assigned
Aug 22, 2014
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 19061 TN Primary

Addresses

Primary practice location

210 Walmart Drive
Soddy Daisy, TN 37379

Mailing address

1949 Gunbarrel Road
Suite 230
Chattanooga, TN 37421
Phone (423) 495-4349

Other names 1

  • Danielle Barr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141022001848 TN Practitioner - Nurse Practitioner 7517188246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Sep 19, 2016 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Sep 19, 2016 Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

210 Walmart Dr
Soddy Daisy, TN 37379
Phone (423) 332-6155

Interoperability endpoints

  • Direct secure messaging: daniellevandergriff@tnmhpf.allscriptsdirect.net

Organizations & group practices 3

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": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1437558731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL ROAD",
            "address_2": "SUITE 230",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-495-4349",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALMART DRIVE",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "37379",
            "telephone_number": "423-332-6155",
            "fax_number": "423-332-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERGRIFF",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BARR",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soddy Daisy, TN

Sources for this page

Verify at the official NPI Registry.