Individual provider Active NPI

Michelle Joy Daniels, RN

  • Family Nurse Practitioner
  • Vernon, FL
National Provider Identifier
1851819809
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9323726 Issued in FL
Practice address
3027 Main St
Vernon, FL 32462-2220
Phone
(850) 535-0703
NPI assigned
Aug 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 9323726 FL Primary

Addresses

Primary practice location

3027 Main St
Vernon, FL 32462-2220

Mailing address

3027 Main St
Vernon, FL 32462-2220
Phone (850) 535-0703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003554 FL Practitioner - Nurse Practitioner 3173851359 Practice locations: Ebro, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9323726FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Rene', Inc. Family CurrentSince Jul 24, 2022 Accepting new patients
Panama City Springs & Recovery Center, Inc Past Accepting new patients
Dawn Rene LLC Family PastSince Jul 24, 2022 Accepting new patients

Locations

3027 Main St
Vernon, FL 32462
Phone (850) 535-0703

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851819809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 MAIN ST",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324622220",
            "telephone_number": "850-535-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 MAIN ST",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324622220",
            "telephone_number": "850-535-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MICHELLE",
        "middle_name": "JOY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9323726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, FL

Sources for this page

Verify at the official NPI Registry.