Individual provider Active NPI

Danielle V. Hayes-Harris, RN

  • Case Management Registered Nurse
  • Niceville, FL
National Provider Identifier
1811297286
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
9309742 Issued in FL
Practice address
401 McEwen Dr
Niceville, FL 32578-2741
Phone
(850) 833-9237
Fax
(850) 833-9304
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 9309742 FL Primary

Addresses

Primary practice location

401 McEwen Dr
Niceville, FL 32578-2741

Mailing address

4487 Parkwood SQ
Niceville, FL 32578-9706
Phone (843) 475-6638

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9309742FLMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Children'S Advocacy Center Inc. Past Accepting new patients

Organizations & group practices 1

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1811297286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 PARKWOOD SQ",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789706",
            "telephone_number": "843-475-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MCEWEN DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782741",
            "telephone_number": "850-833-9237",
            "fax_number": "850-833-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES-HARRIS",
        "first_name": "DANIELLE",
        "middle_name": "V.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9309742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.