Individual provider Active NPI

Danielle Brooke Federmann, RN, FNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1568035384
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0029450 Issued in OH
Practice address
5910 Harrison Ave
Cincinnati, OH 45248-1606
Phone
(513) 373-0688
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 419417 OH
Registered Nurse 163W00000X 1141139 KY
Family Nurse Practitioner 363LF0000X 0029450 OH Primary

Addresses

Primary practice location

5910 Harrison Ave
Cincinnati, OH 45248-1606

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (513) 373-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210819003771 OH Practitioner - Nurse Practitioner 8325443948 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
The Little Clinic of Ohio LLCGroup PAC ID 7719087584, 212 clinicians

Practice addresses (Care Compare)

5910 Harrison Ave
Cincinnati, OH 45248-1606
Phone (513) 370-2040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1141139KYMDRegistered Nurse
419417OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Jul 13, 2021 Accepting new patients

Locations

5910 Harrison Ave
Cincinnati, OH 45248
Phone (513) 370-2040

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

10477 Harrison Ave
Harrison, OH 45030
Phone (513) 202-8283

Interoperability endpoints

  • Direct secure messaging: danielle.beckenhaupt@krogerhealth.eclinicaldirectplus.com

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.

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1568035384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "513-373-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HARRISON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481606",
            "telephone_number": "513-373-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERMANN",
        "first_name": "DANIELLE",
        "middle_name": "BROOKE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "419417",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1141139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.