Active NPI
Danielle Elaine Kingdom, OTR
- Occupational Therapist
- Greenfield, WI
National Provider Identifier
1629291687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3755026
- Practice address
- 3939 S 92ND St
Greenfield, WI 53227-3448 - Phone
- (414) 546-7346
- Fax
- (414) 546-1825
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3755026 | WI | Primary |
Addresses
Primary practice location
3939 S 92ND St
Greenfield, WI 53227-3448
Mailing address
1227 Elm Lawn
Wauwatosa, WI 53213
Phone (414) 476-3353
Other names 1
- Miss Danielle Elaine Janos
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3755026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629291687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 ELM LAWN",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "53213",
"telephone_number": "414-476-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 S 92ND ST",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532273448",
"telephone_number": "414-546-7346",
"fax_number": "414-546-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGDOM",
"first_name": "DANIELLE",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3755026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "JANOS",
"middle_name": "ELAINE",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Greenfield, WI
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.