Active NPI
Danielle Elizabeth Clark, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013722
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4000
- Fax
- (859) 258-6203
- NPI assigned
- Sep 4, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013722 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
69 S Main St
Whitley City, KY 42653-6043
Phone (606) 376-7399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100622120 | Medicaid | KY |
Other names 1
- Danielle E Powell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190925000866 | KY | Practitioner - Nurse Practitioner | 1052641677 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Lexington Clinic PSC
Practice addresses (Care Compare)
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 47.05 of 100
- Quality
- 54.1
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| New Lexington Clinic, PSC | Current | Accepting new patients | |
| Unbridled Healthcare System LLC | Current | Accepting new patients | |
| Unbridled Healthcare System LLC | Current | Accepting new patients | |
| New Lexington Clinic PSC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices LLC | Current | Accepting new patients | |
| Lake Cumberland Physician Practices, LLC | Current | Accepting new patients | |
| Lake Cumberland Surgery Center LP | Past | Accepting new patients |
Locations
796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933
110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
222 N Main St
London, KY 40741
Phone (606) 389-5250
30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644
26 Oxford Way
Ste B
Somerset, KY 42503
Phone (606) 425-4298
163 Tower Cir
Somerset, KY 42503
Phone (606) 676-0786
Interoperability endpoints
- https://97465a19-0dc7-4ef3-9aea-f72e472d3305.gastro.prod.fhir.ema-api.com/fhir/r4/
- danielle.clark.1@21269.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Orthopaedic Surgery Physician
- Somerset, KY
- NPI 1811356892
KY
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1093595696
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1144321951
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1881789964
-
- Gastroenterology Physician
- Somerset, KY
- NPI 1174091383
-
- Family Medicine Physician
- Somerset, KY
- NPI 1437440054
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
-
- Psychiatric/Mental Health Registered Nurse
- London, KY
- NPI 1184456717
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1699324566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4000",
"fax_number": "859-258-6203"
}
],
"practiceLocations": [
{
"address_1": "69 S Main St",
"address_purpose": "LOCATION",
"city": "Whitley City",
"state": "KY",
"postal_code": "426536043",
"country_code": "US",
"telephone_number": "606-376-7399",
"fax_number": "606-376-7397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "DANIELLE",
"middle_name": "ELIZABETH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100622120",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "POWELL",
"middle_name": "E",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.