Individual provider Active NPI

Danielle M Rupnow, MSED, BC, OWNER

  • Community/Behavioral Health Agency
  • Fort Wayne, IN
National Provider Identifier
1447139621
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10000772 Issued in IN
Practice address
1922 Kimberlite PL
Fort Wayne, IN 46804-5225
Phone
(260) 479-7712
NPI assigned
Sep 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10000772 IN Primary

Addresses

Primary practice location

1922 Kimberlite PL
Fort Wayne, IN 46804-5225

Mailing address

1922 Kimberlite PL
Fort Wayne, IN 46804-5225
Phone (260) 479-7712

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

State licenses

LicenseStateTypeSpecialty
10000772INMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1447139621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 KIMBERLITE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045225",
            "telephone_number": "260-479-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 KIMBERLITE PL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045225",
            "telephone_number": "260-479-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPNOW",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "MSED, BC, OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "10000772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.