Danielle Michelle Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C-APN.0101848-C-CRNA Issued in CO

Practice address

3911 Ambrosia St Ste 201
Castle Rock, CO 80109-3888

Phone

(303) 788-8888

Fax

(844) 347-5158

NPI assigned

Jun 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Danielle Michelle Robinson Former name

Medicare fee-for-service enrollment

Enrolled in SC, CO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Denver Gastroenterology, P.CGroup PAC ID 2062302508, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danielle.clark.1@3461.direct.athenahealth.com

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.

• South Denver Gastroenterology, PC

  • Gastroenterology Physician
  • Lone Tree, CO
  • NPI 1447364831
  Medicare reassignment Care Compare group NPD
• Coastal Carolina Centers of Urology and Surgery LLC

  • Anesthesiology Physician
  • Conway, SC
  • NPI 1205095080
  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment NPD
• South Denver Gastroenterology, PC

  • Gastroenterology Physician
  • Castle Rock, CO
  • NPI 1205432507
  NPD
• South Denver Gastroenterology, PC

  • Certified Registered Nurse Anesthetist
  • Englewood, CO
  • NPI 1871230789

  Nurse Anesthetist, Certified Registered

  NPD
• Coastal Carolina Centers of Urology and Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Conway, SC
  • NPI 1932274743
  NPD

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1821352485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "844-347-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093888",
            "telephone_number": "303-788-8888",
            "fax_number": "844-347-5158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255269202",
            "country_code": "US",
            "telephone_number": "304-346-9400",
            "fax_number": "304-345-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANIELLE",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "57187",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C-APN.0101848-C-CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1821352485",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01107347",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLSFARGO PEIA",
            "identifier": "1821352485",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9333201",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTNET",
            "identifier": "1821352485",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1821352485",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK OF WV",
            "identifier": "1821352485",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023591",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/TRICARE",
            "identifier": "270052997002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "ROBINSON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline E Cinquegrani, MD
• Nathaniel Civili, NP
• Clarity Dermatology PLLC
• Clarity Mental Health, PLLC
• Barbara Clark, LPCC
• Michelle Clay, LPC
• Clear Minds RX PLLC
• Justin Almon Clifford, PT
• Celeste Clippinger, MPT
• Co Specialty Dental Services PLLC

• Certified Registered Nurse Anesthetist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.