Individual provider Active NPI

Danyel Kush

  • Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1649737628
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60918326 Issued in WA
Practice address
919 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone
(208) 758-0560
Fax
(208) 762-5424
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60918326 WA Primary
Family Nurse Practitioner 363LF0000X AP60918326 WA
Family Nurse Practitioner 363LF0000X 78859 ID

Addresses

Primary practice location

919 W Canfield Ave
Coeur D Alene, ID 83815-9764

Mailing address

919 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone (208) 758-0560

Other practice location 1

9631 N Nevada St Ste 300
Spokane, WA 99218-1193
Phone (509) 489-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20240425000844 ID Practitioner - Nurse Practitioner 4385985415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Active Family Healthcare PLLCGroup PAC ID 7315162237, 5 clinicians

Practice addresses (Care Compare)

919 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone (208) 758-0560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60918326WAMDNurse Practitioner
78859IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Family Healthcare PLLC CurrentSince May 1, 2024 Accepting new patients
Own Family Medicine and Wellness LLC Dba Active Family Healthcare PastSince May 1, 2024 Accepting new patients

Locations

919 W Canfield Ave
Coeur D Alene, ID 83815
Phone (208) 758-0560

Interoperability endpoints

  • Direct secure messaging: danyel.kush@22735065448452.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1649737628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-758-0560",
            "fax_number": "208-762-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-758-0560",
            "fax_number": "208-762-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9631 N Nevada St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181193",
            "country_code": "US",
            "telephone_number": "509-489-4040",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSH",
        "first_name": "DANYEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60918326",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60918326",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "78859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.