Individual provider Active NPI

Danielle Nicole Harris, D.O.

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1497119648
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02005756A Issued in IN
Practice address
1461 Morthland Dr Ste a
Valparaiso, IN 46385-6362
Phone
(219) 663-4007
Fax
(219) 703-6855
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 02005756A IN Primary

Addresses

Primary practice location

1461 Morthland Dr Ste a
Valparaiso, IN 46385-6362

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

Other identifiers 1

IdentifierTypeStateIssuer
300029260MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL, MO, IL, PA, KY, GA, MD, WV, CO, IA, OH, ME, CT, WA, MI, TX, OK, LA, WI, MN, VT, NH, TN, AL, DC, AZ, NJ, KS, NY, UT31 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 31

Enrollment IDStateProvider typePAC IDDetails
I20190820004192 IN Practitioner - Family Practice 1951696152 Reassigns benefits to 2 organizations
I20250917001688 FL Practitioner - Family Practice 1951696152 Reassigns benefits to 2 organizations
I20250919000754 MO Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20251027000027 IL Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20251102000060 PA Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20251124001888 KY Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20251124001921 GA Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20251210001235 MD Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260111000094 WV Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260112001757 CO Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260116000389 IA Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260116002873 OH Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260120003055 ME Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260121000934 CT Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260130003500 WA Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260204001442 MI Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260206002503 TX Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260206002675 OK Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260206002929 LA Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260209002426 WI Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260209003462 MN Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260210000718 VT Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260216002457 NH Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260316000109 TN Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260324002838 AL Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260326003792 DC Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260410000365 AZ Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260423001083 NJ Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260501001764 KS Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260515000955 NY Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization
I20260626003049 UT Practitioner - Family Practice 1951696152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medsense Health Professional CorporationGroup PAC ID 2961930623, 5 clinicians
Emopti PN PCGroup PAC ID 2769914035, 5 clinicians
Medsense RTM PLLCGroup PAC ID 6800339466, 4 clinicians
Dearie Preventative Medicine Professional CorporationGroup PAC ID 4385174739, 3 clinicians

Practice addresses (Care Compare)

Bonita Springs, FL 34134
Phone (253) 242-2705

1 Westbrook Corporate Ctr
Suite 300
Westchester, IL 60154-5709
Phone (253) 242-2705

100 NE 5TH St
FL 1
Oklahoma City, OK 73104-2228
Phone (253) 242-2705

116 Agnes Rd
Suite 200
Knoxville, TN 37919-6306
Phone (217) 737-3508

1650 Market St
Suite 3600
Philadelphia, PA 19103-7334
Phone (253) 242-2705

1910 Towne Centre Blvd
Suite 250
Annapolis, MD 21401-3599
Phone (253) 242-2705

202 N Cedar Ave
Suite 1
Owatonna, MN 55060-2306
Phone (253) 242-2705

212 N 2ND St
Suite 100
Richmond, KY 40475-1408
Phone (253) 242-2705

212 W Troy St
Suite B
Dothan, AL 36303-4455
Phone (253) 242-2705

2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (217) 737-3508

250 E 200
Suite 1600
Salt Lake City, UT 84111-2948
Phone (253) 242-2705

301 N Main St
Suite 2200
Baton Rouge, LA 70825
Phone (253) 242-2705

303 N Stadium Blvd
FL 2
Columbia, MO 65203-1493
Phone (253) 242-2705

315 E 5TH St
Suite 202
Waterloo, IA 50703-4757
Phone (217) 737-3508

3340 Peachtree Rd NE
Suite 1800
Atlanta, GA 30326-1064
Phone (253) 242-2705

3773 Cherry Creek N Dr
East Tower Suite 801
Denver, CO 80209
Phone (253) 242-2705

426 N Main St
Wheaton, IL 60187-4164
Phone (253) 242-2705

5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Phone (217) 737-3508

5900 Balcones Dr
Suite 100
Austin, TX 78731-4298
Phone (217) 737-3508

601 Pennsylvania Ave NW
South Building Suite 900
Washington, DC 20004-2610
Phone (253) 242-2705

972 Broad St
Newark, NJ 07102-2533
Phone (253) 242-2705

W57N14280 Doerr Way
Suite 201
Cedarburg, WI 53012-3108
Phone (253) 242-2705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6121TNMDPharmacist
9412OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emopti PN PC CurrentSince Sep 1, 2025 Accepting new patients
Emopti PN Professional Association CurrentSince Sep 1, 2025 Accepting new patients
Community Care Network Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Aug 1, 2025 Accepting new patients
Medsense Health Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Medsense Health Professional Association CurrentSince Mar 25, 2026 Accepting new patients
Imaging Resource Centers LTD PastSince Aug 1, 2025 Accepting new patients

Locations (25 of 33)

3773 E Cherry Creek North Dr
Ste 801
Denver, CO 80209
Phone (719) 821-1953

3773 Chry Creek N Dr
Ste 80
Denver, CO 80209

123 Church St
Ste 300
New Haven, CT 06510

601 Pennsylvania Ave NW
Ste 900
Washington, DC 20004
Phone (240) 586-3538

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

3340 Peachtree Rd NE
Ste 1800
Atlanta, GA 30326
Phone (404) 812-5396

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

315 E 5th St
Ste 202
Waterloo, IA 50703
Phone (563) 249-5781

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

10607 Randolph St
Ste A
Crown Point, IN 46307
Phone (219) 226-1529

5534 Saint Joe Rd
Fort Wayne, IN 46835
Phone (423) 502-1508

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

1461 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 286-3855

9393 W 110th St
#51
Overland Park, KS 66210
Phone (316) 209-1247

212 N 2nd St
Ste 100
Richmond, KY 40475
Phone (317) 332-9861

301 Main St
Ste 2200
Baton Rouge, LA 70801
Phone (225) 329-2337

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

41 Hutchins Dr
Bldg 3
Portland, ME 04102
Phone (646) 398-0527

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

202 N Cedar Ave
Ste 1
Owatonna, MN 55060
Phone (203) 299-6084

303 N Stadium Blvd
Fl 2
Columbia, MO 65203
Phone (423) 502-1508

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

264 S River Rd
Fl 1
Bedford, NH 03110

10 N High St
Ste 200
Columbus, OH 43215
Phone (614) 214-8621

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1497119648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 MORTHLAND DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856362",
            "telephone_number": "219-663-4007",
            "fax_number": "219-703-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 Crawford Ave",
            "address_2": "Attn: Postdoctoral Education",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "IN",
            "license": "02005756A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300029260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.