Individual provider Active NPI

Danielle E. McDonough, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1770954836
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9262691 Issued in FL
Practice address
1706 Berglund LN
Melbourne, FL 32940-6474
Phone
(321) 421-7525
Fax
(321) 622-6860
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 APRN9262691 FL Primary

Addresses

Primary practice location

1706 Berglund LN
Melbourne, FL 32940-6474

Mailing address

1706 Berglund LN
Melbourne, FL 32940-6474
Phone (321) 421-7525

Other practice location 1

1600 W Eau Gallie Blvd Ste 102
Melbourne, FL 32935-4149
Phone (321) 726-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180601000810 FL Practitioner - Nurse Practitioner 7416210737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Viera Heart and Vascular Clinic LLCGroup PAC ID 5092935346, 2 clinicians

Practice addresses (Care Compare)

1706 Berglund LN
Melbourne, FL 32940-6265
Phone (321) 421-7525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9262691FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Central Brevard LLC CurrentSince Mar 10, 2018 Accepting new patients
Viera Heart and Vascular Clinic LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

1706 Berglund Ln
Melbourne, FL 32940
Phone (321) 421-7525

1600 W Eau Gallie Blvd
Ste 102
Melbourne, FL 32935
Phone (321) 720-2860

8095 Spyglass Hill Rd
Viera, FL 32940

Interoperability endpoints

  • Direct secure messaging: dmcdonough71651@epicdirect.hf.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGHHAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFHHCA

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1770954836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 BERGLUND LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406474",
            "telephone_number": "321-421-7525",
            "fax_number": "321-622-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 BERGLUND LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406474",
            "telephone_number": "321-421-7525",
            "fax_number": "321-622-6860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W Eau Gallie Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354149",
            "country_code": "US",
            "telephone_number": "321-726-0007",
            "fax_number": "321-622-6231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "DANIELLE",
        "middle_name": "E.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9262691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.