Individual provider Active NPI

Daniah Nacarato, APN

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1740680602
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011655 Issued in IL
Practice address
6811 N Knoxville Ave Ste a
Peoria, IL 61614-2868
Phone
(309) 439-9400
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011655 IL Primary

Addresses

Primary practice location

6811 N Knoxville Ave Ste a
Peoria, IL 61614-2868

Mailing address

6811 N Knoxville Ave Ste a
Peoria, IL 61614-2868
Phone (309) 439-9400

Other names 1

  • Daniah Noelle Robb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20140917002579 IL Order and Referring Only - Nurse Practitioner 8527287945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeasyaccesshealthcare, PLLC Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1740680602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 N KNOXVILLE AVE STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142868",
            "telephone_number": "309-439-9400",
            "fax_number": "309-323-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 N KNOXVILLE AVE STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142868",
            "telephone_number": "309-439-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACARATO",
        "first_name": "DANIAH",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIAH",
            "last_name": "ROBB",
            "middle_name": "NOELLE",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.