Danyelle Dawn Kerns, NP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2013010840 Issued in MO

Practice address

220 S Woodbine Rd
Saint Joseph, MO 64506-3447

Phone

(816) 676-1300

Fax

(816) 676-1400

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danyelle.kerns.1@25988.direct.athenahealth.com

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.

• Randy S. Buckles, DO, Family Health Care, LLC

  • Family Medicine Physician
  • Saint Joseph, MO
  • NPI 1396753422
  Medicare reassignment NPD
• Social Welfare Board of the County of Buchanan

  • Non-Surgical Family Planning Clinic/Center
  • Saint Joseph, MO
  • NPI 1740775212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1669805818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063447",
            "telephone_number": "816-676-1300",
            "fax_number": "816-676-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063447",
            "telephone_number": "816-676-1300",
            "fax_number": "816-676-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "DANYELLE",
        "middle_name": "DAWN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013010840",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013010840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669805818",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agnes M Kelly, ATC
• Linda Marie Kemper, MS SLP CFY
• Derek M Kendall, DPT
• Kelly Renee Kennedy
• Kerns Family Health Care LLC
• Emad A Khan, MD
• Rintu Intekhab Khan, MD
• Ruth A Kiekhaefer, PNP
• Morgan Kieser, LPC
• Deborah A Kinnamon, APN

• Family Medicine Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.