Individual provider Active NPI

Danielle Evelyn-Nicole Johnson, CRNP- FAMILY

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1831478890
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182520 Issued in MD
Practice address
12215 Darnestown Rd
Gaithersburg, MD 20878-2203
Phone
(301) 948-8010
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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 R182520 MD Primary

Addresses

Primary practice location

12215 Darnestown Rd
Gaithersburg, MD 20878-2203

Mailing address

12020 Suffolk Ter
Gaithersburg, MD 20878-2043
Phone (301) 642-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120222000812 DC Practitioner - Nurse Practitioner 0941468979 Reassigns benefits to 4 organizations
I20140707000956 MD Practitioner - Nurse Practitioner 0941468979 Reassigns benefits to 3 organizations
I20231019001343 VA Practitioner - Nurse Practitioner 0941468979

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians
Vinu Ganti M.D., P.C.Group PAC ID 2466554571, 7 clinicians

Practice addresses (Care Compare)

Washington, DC 20002
Phone (862) 812-9010

12800 Middlebrook Rd
Suite 204
Germantown, MD 20874-5254
Phone (301) 540-8146

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (973) 435-9463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV III LLC CurrentSince Oct 27, 2025 Accepting new patients
Ennoble HC DMV LLC CurrentSince Sep 15, 2021 Accepting new patients
Vinu Ganti M.D., P.C. CurrentSince Oct 15, 2024 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Oct 27, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

1500 K St NW
Ofc 226A
Washington, DC 20005
Phone (862) 812-9010

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

12800 Middlebrook Rd
Ste 204
Germantown, MD 20874
Phone (301) 540-8146

962 Wayne Ave
Ste 250
Silver Spring, MD 20910
Phone (240) 744-0001

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

Interoperability endpoints

  • Direct secure messaging: danielle.johnson@2098.securemail.prognocis.com

Organizations & group practices 5

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1831478890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SUFFOLK TER",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782043",
            "telephone_number": "301-642-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782203",
            "telephone_number": "301-948-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "middle_name": "EVELYN-NICOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP- FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.