Active NPI
Danielle Bruce, RN
- Registered Nurse
- Earth City, MO
National Provider Identifier
1831589373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 146168
- Practice address
- 3120 Rider TRL S
Earth City, MO 63045-1518 - Phone
- (314) 702-4036
- Fax
- (314) 702-4156
- NPI assigned
- Feb 4, 2015
- Last updated
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 146168 | MO | Primary |
Addresses
Primary practice location
3120 Rider TRL S
Earth City, MO 63045-1518
Mailing address
3120 Rider TRL S
Earth City, MO 63045-1518
Phone (314) 702-4036
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
| License | State | Type | Specialty |
|---|---|---|---|
| 146168 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JM Family Enterprises, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Earth City, MO
- NPI 1316337827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1831589373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 RIDER TRL S",
"city": "EARTH CITY",
"state": "MO",
"postal_code": "630451518",
"telephone_number": "314-702-4036",
"fax_number": "314-702-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 RIDER TRL S",
"city": "EARTH CITY",
"state": "MO",
"postal_code": "630451518",
"telephone_number": "314-702-4036",
"fax_number": "314-702-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "DANIELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "146168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Earth City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.