Individual provider Active NPI

Danielle Sutton, NP

  • Family Nurse Practitioner
  • Eagle, ID
National Provider Identifier
1528427796
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1698A Issued in ID
Practice address
951 E Plaza Dr
#170
Eagle, ID 83616-6566
Phone
(208) 939-2505
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 NP-1698A ID Primary

Addresses

Primary practice location

951 E Plaza Dr
#170
Eagle, ID 83616-6566

Mailing address

951 E Plaza Dr
#170
Eagle, ID 83616-6566
Phone (208) 939-2505

Other names 1

  • Danielle Pearson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20170301000857 ID Practitioner - Nurse Practitioner 2860776374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gary Gregerson MD PAGroup PAC ID 3173838141, 10 clinicians

Practice addresses (Care Compare)

16111 N Brinson St
Suite 110
Nampa, ID 83687-5509
Phone (208) 468-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1698AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Gregerson, M.D., P.a. CurrentSince Aug 28, 2018 Accepting new patients
Gary Gregerson MD PA PastSince Aug 28, 2018 Accepting new patients

Locations

4850 N Rosepoint Way
Boise, ID 83713

1611 12th Ave Rd
Ste A
Nampa, ID 83686
Phone (208) 468-9400

16111 N Brinson St
#110
Nampa, ID 83687
Phone (208) 468-9400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1528427796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E PLAZA DR",
            "address_2": "#170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166566",
            "telephone_number": "208-939-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E PLAZA DR",
            "address_2": "#170",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166566",
            "telephone_number": "208-939-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1698A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "PEARSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.