Individual provider Active NPI

Danielle Marie Sabala, FNP-C

  • Family Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1508412909
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704299573 Issued in MI
Practice address
2425 Military St
Port Huron, MI 48060-6692
Phone
(810) 984-5700
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704299573 MI Primary

Addresses

Primary practice location

2425 Military St
Port Huron, MI 48060-6692

Mailing address

2425 Military St
Port Huron, MI 48060-6692
Phone (810) 984-5700

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
I20190903002002 MI Practitioner - Nurse Practitioner 8820327794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Healthcare Network PCGroup PAC ID 3476456252, 30 clinicians

Practice addresses (Care Compare)

2425 Military St
BLDG 2
Port Huron, MI 48060-6692
Phone (810) 984-5700

Hospital & facility affiliations

  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Network, PC Family CurrentSince Aug 14, 2019 Accepting new patients
Biotech Clinical Laboratories Inc PastSince Aug 18, 2019 Accepting new patients

Locations

3350 Gratiot Blvd
Marysville, MI 48040
Phone (810) 364-4000

2425 Military St
Bldg 2
Port Huron, MI 48060
Phone (810) 984-4194

Interoperability endpoints

  • Direct secure messaging: danielle.sabala.1@11357.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1508412909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-984-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-984-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABALA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704299573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.