Active NPI
Danielle Elizabeth Pratt, FNP-BC
- Family Nurse Practitioner
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209023666
- Practice address
- 1227 E Rusholme St
Davenport, IA 52803-2459 - Phone
- (563) 421-1000
- NPI assigned
- Sep 2, 2021
- 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 | 209023666 | IL | Primary |
Addresses
Primary practice location
1227 E Rusholme St
Davenport, IA 52803-2459
Mailing address
2444 33Rd Ave
Rock Island, IL 61201-6308
Phone (309) 235-6350
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021038972 | Other | AMERICAN NURSES CREDENTIALING CENTER | |
| 209023666 | Other | IL | ADVANCED PRACTICE REGISTERED NURSE |
| 041447316 | Other | IL | RN |
| 144820 | Other | IA | RN |
| A165409 | Other | IA | CERTIFIED FAMILY NURSE PRACTITIONER |
Other names 1
- Danielle Elizabeth Frain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487
Hospital & facility affiliations
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Genesis Medical Center-Davenport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209023666 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Locations
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
619 5th St
Durant, IA 52747
Phone (563) 785-4487
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
Organizations & group practices 4
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.
-
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- Family Medicine Physician
- Moline, IL
- NPI 1164538435
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1740958735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2444 33RD AVE",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612016308",
"telephone_number": "309-235-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E RUSHOLME ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032459",
"telephone_number": "563-421-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "DANIELLE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209023666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN NURSES CREDENTIALING CENTER",
"identifier": "2021038972",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE REGISTERED NURSE",
"identifier": "209023666",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "041447316",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "144820",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED FAMILY NURSE PRACTITIONER",
"identifier": "A165409",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "FRAIN",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.