Active NPI
Danielle Alyse Garry, NP
- Pediatric Nurse Practitioner
- Temple, TX
National Provider Identifier
1578183752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1070390
- Practice address
- 1901 SW H K Dodgen Loop BLDG 300
Temple, TX 76502-1814 - Phone
- (254) 724-5437
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2018002466 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 1070390 | TX | Primary |
| Registered Nurse | 163W00000X | 041484734 | IL |
Addresses
Primary practice location
1901 SW H K Dodgen Loop BLDG 300
Temple, TX 76502-1814
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgarry1059315@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041484734 | IL | MD | Registered Nurse |
| 2018002466 | MO | MD | Registered Nurse |
| 1070390 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1578183752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 SW H K DODGEN LOOP BLDG 300",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021814",
"telephone_number": "254-724-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRY",
"first_name": "DANIELLE",
"middle_name": "ALYSE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018002466",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1070390",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041484734",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgarry1059315@direct.sw.org",
"affiliation": "N",
"address_1": "1901 SW H K Dodgen Loop Bldg 300",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765021814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.