Active NPI
William Daniels Jr., B.S., EPC
- Health Educator
- Bloomington, IN
National Provider Identifier
1801342621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 600 N. Jordan Ave.
Bloomington, IN 47405 - Phone
- (812) 855-7338
- NPI assigned
- Aug 31, 2016
- Last updated
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
600 N. Jordan Ave.
Bloomington, IN 47405
Mailing address
PO Box 335
Stinesville, IN 47464
Phone (317) 626-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35 6001673 | Other | IN | IU HEALTH CENTER |
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1801342621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 335",
"city": "STINESVILLE",
"state": "IN",
"postal_code": "47464",
"telephone_number": "317-626-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N. JORDAN AVE.",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47405",
"telephone_number": "812-855-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "WILLIAM",
"name_suffix": "Jr.",
"credential": "B.S., EPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IU HEALTH CENTER",
"identifier": "35 6001673",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.