Danielle Elizabeth Anderson
Individual provider Active NPI Peer Specialist · Indio, CA
NPI 1467196972 · NPPES record last updated Apr 21, 2022
Key facts
- NPI
- 1467196972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- CAFPET072117-1 (CO)
- Practice address
- 47915 Oasis St
Indio, CA 92201-6950 - Phone
- (760) 863-8632
- Fax
- (760) 863-8631
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAFPET072117-1 | CO | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CAFPET072117-1 | CO | Yes |
Addresses
Primary practice location
47915 Oasis St
Indio, CA 92201-6950
Mailing address
57475 Lupine Dr Apt 6
Yucca Valley, CA 92284-3880
Phone (760) 282-1184
Other names
- Danielle Elizabeth Menold
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.