Individual provider Active NPI

Danielle Roach, APN

  • Family Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1548646243
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.012943 Issued in IL
Practice address
109 Symonds Dr
#578
Hinsdale, IL 60521-3763
Phone
(630) 856-6782
Fax
(630) 241-2803
NPI assigned
Aug 4, 2015
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 209.012943 IL Primary

Addresses

Primary practice location

109 Symonds Dr
#578
Hinsdale, IL 60521-3763

Mailing address

109 Symonds Dr
#578
Hinsdale, IL 60521-3763
Phone (630) 856-6782

Other practice location 1

5201 Willow Springs Rd Ste 290
LA Grange Highlands, IL 60525-6506
Phone (708) 579-0018

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danielle.roach.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150925001657 IL Practitioner - Nurse Practitioner 1658689567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

396 Remington Blvd
Bolingbrook, IL 60440-4311

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-7044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.012943ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Jun 4, 2020 Accepting new patients
Adventist Health Partners, Inc CurrentSince Jun 4, 2020 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Vascular Specialists LLC CurrentSince Feb 13, 2017 Accepting new patients
Adventist Bolingbrook Hospital Past Accepting new patients
Vascular Specialists of Indiana LLC PastSince Oct 9, 2022 Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

5201 Willow Springs Rd
Ste 290
La Grange Highlands, IL 60525

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

20060 Governors Dr
Ste 102
Olympia Flds, IL 60461
Phone (815) 824-4406

8505 183rd St
Ste A
Tinley Park, IL 60487
Phone (815) 824-4406

Interoperability endpoints

  • Direct secure messaging: danielle.roach.1@380.direct.athenahealth.com
  • Direct secure messaging: droach1239610@adventhealth.direct-ci.com

Organizations & group practices 6

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 5

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1548646243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SYMONDS DR",
            "address_2": "#578",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213763",
            "telephone_number": "630-856-6782",
            "fax_number": "630-241-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SYMONDS DR",
            "address_2": "#578",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213763",
            "telephone_number": "630-856-6782",
            "fax_number": "630-241-2803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Willow Springs Rd Ste 290",
            "address_purpose": "LOCATION",
            "city": "LA Grange Highlands",
            "state": "IL",
            "postal_code": "605256506",
            "country_code": "US",
            "telephone_number": "708-579-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DANIELLE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.012943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle.roach.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5201 Willow Springs Rd Ste 290",
            "city": "LA Grange Highlands",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605256506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.