Active NPI
Danielle Kathryn Addleman, PA
- Physician Assistant
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA164124
- Practice address
- 2450 SW Perkins Ave
Pendleton, OR 97801-4302 - Phone
- (541) 276-1700
- Fax
- (541) 276-6327
- NPI assigned
- Feb 10, 2012
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA164124 | OR | Primary |
Addresses
Primary practice location
2450 SW Perkins Ave
Pendleton, OR 97801-4302
Mailing address
2450 SW Perkins Ave
Pendleton, OR 97801-4302
Phone (541) 276-1700
Other practice location 1
3181 SW Sam Jackson Park Rd
Gh219
Portland, OR 97239-3011
Phone (541) 215-0292
Other names 1
- Danielle Kathryn Gipson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 W Elm Ave
Suite 220
Hermiston, OR 97838-2714
Phone (509) 735-1100
2450 SW Perkins Ave
Pendleton, OR 97801-4302
Phone (541) 276-1700
2460 SW Perkins Ave
Pendleton, OR 97801-4302
354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Excellence in Dermatology, PLLC | Current | Accepting new patients | |
| Praxis Health, PC | Current | Accepting new patients | |
| Praxis Health, PC | Current | Accepting new patients | |
| Commonspirit Oregon | Past | Accepting new patients |
Locations
1050 W Elm Ave
Ste 220
Hermiston, OR 97838
Phone (509) 735-1100
2450 SW Perkins Ave
Pendleton, OR 97801
Phone (541) 276-1700
8901 W Gage Blvd
Kennewick, WA 99336
Phone (509) 628-1911
Interoperability endpoints
- dgipson@pfm.directbygreenway.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Bend, OR
- NPI 1821068164
-
- Specialist
- Hermiston, OR
- NPI 1093061806
-
- Specialist
- Kennewick, WA
- NPI 1669512950
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Shepherd Medical Center
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
dba Good Shepherd Home Health Agency
- Home Health Agency
- Hermiston, OR
- NPI 1902849375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669745469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 SW PERKINS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978014302",
"telephone_number": "541-276-1700",
"fax_number": "541-276-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SW PERKINS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978014302",
"telephone_number": "541-276-1700",
"fax_number": "541-276-6327"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_2": "GH219",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "541-215-0292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADDLEMAN",
"first_name": "DANIELLE",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA164124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "GIPSON",
"middle_name": "KATHRYN",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.