Individual provider Active NPI

Danielle Leeper, CNP

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1669924817
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004951 Issued in AR
Practice address
1 Saint Vincent Cir
Suite 160
Little Rock, AR 72205-5405
Phone
(501) 661-0037
Fax
(501) 661-0038
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A004951 AR Primary

Addresses

Primary practice location

1 Saint Vincent Cir
Suite 160
Little Rock, AR 72205-5405

Mailing address

334 Valmar St
Little Rock, AR 72205-5763
Phone (501) 920-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170206002649 AR Practitioner - Nurse Practitioner 0547543183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Resource Group LLPGroup PAC ID 9234036450, 7 clinicians

Practice addresses (Care Compare)

1 Saint Vincent Cir
Suite 160
Little Rock, AR 72205-5406
Phone (501) 661-0037

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • CHI St Vincent Morrilton Hospital, Morrilton, AR, CCN 041324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004951ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Resource Group LLP CurrentSince Dec 1, 2016 Accepting new patients

Locations

1 Saint Vincent Cir
Ste 160
Little Rock, AR 72205
Phone (501) 661-0037

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1669924817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 VALMAR ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055763",
            "telephone_number": "501-920-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR",
            "address_2": "SUITE 160",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055405",
            "telephone_number": "501-661-0037",
            "fax_number": "501-661-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEPER",
        "first_name": "DANIELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.