Individual provider Active NPI

Danielle Christine Martin, NP

  • Acute Care Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1508369547
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704279516NSA17584 Issued in MI
Practice address
3413 Woods Edge
Okemos, MI 48864-5901
Phone
(517) 349-3303
NPI assigned
Mar 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704279516NSA17584 MI Primary

Addresses

Primary practice location

3413 Woods Edge
Okemos, MI 48864-5901

Mailing address

165 E Barron Rd
Howell, MI 48855-8354
Phone (248) 982-6683

Other practice location 1

2380 Cedar St Ste 100
Holt, MI 48842-2210
Phone (517) 742-4900

Other names 1

  • Mrs. Danielle Christine Wozniak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180412002370 MI Practitioner - Nurse Practitioner 9234492836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Cardiovascular Consultants PCGroup PAC ID 9739143827, 10 clinicians

Practice addresses (Care Compare)

3413 Woods Edge
Okemos, MI 48864-5901
Phone (517) 349-3303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704279516NSA17584MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Cardiovascular Consultants PC CurrentSince Apr 6, 2018 Accepting new patients

Locations

2380 Cedar St
Ste 100
Holt, MI 48842
Phone (517) 742-4900

2380 Cedar St
Holt, MI 48842
Phone (517) 349-3303

3413 Woods Edge
Okemos, MI 48864
Phone (517) 349-3303

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1508369547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E BARRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488558354",
            "telephone_number": "248-982-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 WOODS EDGE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645901",
            "telephone_number": "517-349-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Cedar St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488422210",
            "country_code": "US",
            "telephone_number": "517-742-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DANIELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704279516NSA17584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "WOZNIAK",
            "middle_name": "CHRISTINE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.