Active NPI
Annette Michelle Daniels, P.A.-C
- Physician Assistant
- Wellington, KS
National Provider Identifier
1598866915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000863
- Practice address
- 1323 N a St
Wellington, KS 67152-4350 - Phone
- (620) 326-8171
- Fax
- (620) 326-2371
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000863 | KS | Primary |
Addresses
Primary practice location
1323 N a St
Wellington, KS 67152-4350
Mailing address
911 N Washington Ave
Wellington, KS 67152-4257
Phone (620) 326-8171
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000863 | KS | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598866915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N WASHINGTON AVE",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671524257",
"telephone_number": "620-326-8171",
"fax_number": "620-326-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 N A ST",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671524350",
"telephone_number": "620-326-8171",
"fax_number": "620-326-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "ANNETTE",
"middle_name": "MICHELLE",
"credential": "P.A.-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "000863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, KS
- County of Sumner (Sumner County Health Department)
- County of Sumner
- County of Sumner (Sumner County Health Department)
- Evan Crenshaw
- Isaac Miguel Cruz, LPC
- Deseret Health Group
- Deseret Nursing and Rehabilitation at Wellington
- Dillon Companies LLC (Dillon Pharmacy)
- Patricia Dudley-Gangwere, LCPC
- E.B. Enterprises LLC (Serenity Senior Retreat)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.