Sally Daggy, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002659A Issued in IN

Practice address

600 S Jackson Park Dr
Seymour, IN 47274-2626

Phone

(812) 519-2963

Fax

(812) 519-3515

NPI assigned

Jun 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1720240195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORTH DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741444",
            "telephone_number": "812-523-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S JACKSON PARK DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742626",
            "telephone_number": "812-519-2963",
            "fax_number": "812-519-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGY",
        "first_name": "SALLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002659A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "125915",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201021580A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000714267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy Crook
• Donald A. Cummings, D.D.S.
• D Matthew Pierce DDS LLC
• Jennifer R Daake, PA-C
• Narinder S Dabhia, M.D.
• Erin Elizabeth Daniel
• Rebecca J Darlage, FNP
• Rachel Dart, RBT
• Bethany Daugherty, MS, RDN, CD
• David E. Dollens, MD,LLC

• Family Nurse Practitioner in Seymour, IN
• Providers in Seymour, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.