Individual provider Active NPI

Danielle Darroch, ATC

  • Athletic Trainer
  • Ypsilanti, MI
National Provider Identifier
1750827457
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
096004128 Issued in IL
Practice address
4926 Lakeridge St Apt TB
Ypsilanti, MI 48197-1424
Phone
(630) 885-7459
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096004128 IL Primary

Addresses

Primary practice location

4926 Lakeridge St Apt TB
Ypsilanti, MI 48197-1424

Mailing address

4926 Lakeridge St Apt TB
Ypsilanti, MI 48197-1424
Phone (630) 885-7459

Other practice location 1

1525 W Lincoln Hwy
Intercollegiate Athletics CV 170
Dekalb, IL 60115-3989
Phone (815) 753-0211

Other identifiers 1

IdentifierTypeStateIssuer
2000021446OtherILNATA BOC

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

LicenseStateTypeSpecialty
096004128ILMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1750827457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 LAKERIDGE ST APT TB",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971424",
            "telephone_number": "630-885-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 LAKERIDGE ST APT TB",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971424",
            "telephone_number": "630-885-7459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 W Lincoln Hwy",
            "address_2": "Intercollegiate Athletics CV 170",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601153989",
            "country_code": "US",
            "telephone_number": "815-753-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARROCH",
        "first_name": "DANIELLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096004128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA BOC",
            "identifier": "2000021446",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.