Active NPI
Danielle Roche Paschall, DNP, ARNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1700436367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61004475
- Practice address
- 510 E Main Ste D
Puyallup, WA 98372-5612 - Phone
- (253) 904-4138
- Fax
- (253) 323-1011
- NPI assigned
- Sep 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61004475 | WA | Primary |
Addresses
Primary practice location
510 E Main Ste D
Puyallup, WA 98372-5612
Mailing address
1675 Peerless Rd
Bedford, IN 47421-9063
Phone (253) 904-4138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61004475 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1700436367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 PEERLESS RD",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474219063",
"telephone_number": "253-904-4138",
"fax_number": "253-323-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E MAIN STE D",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983725612",
"telephone_number": "253-904-4138",
"fax_number": "253-323-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHALL",
"first_name": "DANIELLE",
"middle_name": "ROCHE",
"name_prefix": "Dr.",
"credential": "DNP, ARNP, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61004475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.