Active NPI
Danielle Nicole Harris, D.O.
- Family Medicine Physician
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02005756A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300029260 | Medicaid | IN |
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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 31
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6121 | TN | MD | Pharmacist |
| 9412 | OK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emopti PN PC | Current | Accepting new patients | |
| Emopti PN Professional Association | Current | Accepting new patients | |
| Community Care Network Inc | Family Medicine | Current | Accepting new patients |
| Openloop Healthcare Partners PC | Current | Accepting new patients | |
| Medsense Health Professional Corporation | Current | Accepting new patients | |
| Medsense Health Professional Association | Current | Accepting new patients | |
| Imaging Resource Centers LTD | Past | 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.
-
- Public Health & General Preventive Medicine Physician
- Raleigh, NC
- NPI 1376385344
IA, IN, MI, OK, PA, TN, TX, WA
-
- Public Health & General Preventive Medicine Physician
- Annapolis, MD
- NPI 1376359521
AL, AZ, CO, CT, DC, FL, GA, KY, LA, ME, MN, MO, NH, OH, UT, VT, WI, WV
-
- Public Health & General Preventive Medicine Physician
- Albany, NY
- NPI 1154138352
NJ
-
- Clinical Informatics Physician
- Wheaton, IL
- NPI 1629845383
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Public Health & General Preventive Medicine Physician
- St Petersburg, FL
- NPI 1023855475
-
- Public Health & General Preventive Medicine Physician
- Overland Park, KS
- NPI 1851259972
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
-
- Mobile Radiology Clinic/Center
- Miamisburg, OH
- NPI 1003855909
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.