Individual provider Active NPI

Danielle Alyse King, PA-C

  • Physician Assistant
  • Warrenton, VA
National Provider Identifier
1578226809
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
28 Blackwell Park LN
Warrenton, VA 20186-2685
Phone
(540) 701-4656
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0110009164 VA
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

28 Blackwell Park LN
Warrenton, VA 20186-2685

Mailing address

951 Fell St Apt 330
Baltimore, MD 21231-3589
Phone (443) 752-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230523000783 VA Practitioner - Physician Assistant 8224494992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warrenton Dermatology PCGroup PAC ID 3476519166, 5 clinicians

Practice addresses (Care Compare)

28 Blackwell Park Lane
Suite 302
Warrenton, VA 20186-2685

28 Blackwell Park LN
Warrenton, VA 20186-2685

28 Blackwell Park LN
Suite 302
Warrenton, VA 20186-2687
Phone (540) 341-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as group
Quality
94.09
Promoting interoperability
92
Improvement activities
40
Cost
92.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110009164VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC PastSince Jun 23, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dking@warrentonderm.emadirect.md

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 1

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1578226809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FELL ST APT 330",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313589",
            "telephone_number": "443-752-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BLACKWELL PARK LN",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862685",
            "telephone_number": "540-701-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DANIELLE",
        "middle_name": "ALYSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0110009164",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.