Active NPI
Lori Ashli Daniels, CRNA
- Certified Registered Nurse Anesthetist
- Loris, SC
National Provider Identifier
1730317470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17864
- Practice address
- 3655 Mitchell St
Loris, SC 29569-9601 - Phone
- (843) 716-7000
- Fax
- (843) 716-7093
- NPI assigned
- Jul 1, 2009
- Last updated
- Jul 2, 2009
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 17864 | NC | Primary |
Addresses
Primary practice location
3655 Mitchell St
Loris, SC 29569-9601
Mailing address
3655 Mitchell St
Box 690001
Loris, SC 29569-9601
Phone (843) 716-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3929 | Other | SC | SC STATE LIC NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17864 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1730317470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 MITCHELL ST",
"address_2": "BOX 690001",
"city": "LORIS",
"state": "SC",
"postal_code": "295699601",
"telephone_number": "843-716-7000",
"fax_number": "843-716-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 MITCHELL ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295699601",
"telephone_number": "843-716-7000",
"fax_number": "843-716-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "LORI",
"middle_name": "ASHLI",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "17864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC STATE LIC NUMBER",
"identifier": "3929",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loris, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.