Individual provider Active NPI

Danielle L Davis, ANP

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1598074692
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71003383A Issued in IN
Practice address
10122 E 10TH St Ste 210
Indianapolis, IN 46229-2664
Phone
(317) 355-8110
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71003383A IN Primary

Addresses

Primary practice location

10122 E 10TH St Ste 210
Indianapolis, IN 46229-2664

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

8424 Naab Rd Ste 1L
Indianapolis, IN 46260-1954
Phone (317) 338-7780

Other identifiers 1

IdentifierTypeStateIssuer
201004660MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101120000125 IN Practitioner - Nurse Practitioner 0446446173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

10122 E 10TH St
Suite 210
Indianapolis, IN 46229-2664
Phone (317) 355-2230

Hospital & facility affiliations

  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Riverview Health Hospital, Noblesville, IN, CCN 150059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71003383AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 24, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 24, 2024 Accepting new patients
Paradigm Living Concepts, LLC CurrentSince May 1, 2023 Accepting new patients
Paradigm Living Concepts, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

9894 E 121st St
Fishers, IN 46037
Phone (317) 621-2273

7240 Shadeland Sta
Ste 300
Indianapolis, IN 46256
Phone (317) 621-6060

10122 E 10th St
Ste 210
Indianapolis, IN 46229
Phone (317) 355-2230

8904 Bash St
Ste B
Indianapolis, IN 46256
Phone (317) 735-6001

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

9669 E 146th St
Ste 250
Noblesville, IN 46060
Phone (317) 621-4657

Interoperability endpoints

  • Direct secure messaging: ddavis615031@ecommunitydirect.com

Organizations & group practices 4

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1598074692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10122 E 10TH ST STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292664",
            "telephone_number": "317-355-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8424 Naab Rd Ste 1L",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601954",
            "country_code": "US",
            "telephone_number": "317-338-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71003383A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201004660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.