Individual provider Active NPI

Daniella Christine Ganaway, FNP-C

  • Family Nurse Practitioner
  • New Llano, LA
National Provider Identifier
1851962740
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220695 Issued in LA
Practice address
794 Holly St
New Llano, LA 71461-4526
Phone
(337) 424-9295
NPI assigned
Jul 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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 220695 LA Primary

Addresses

Primary practice location

794 Holly St
New Llano, LA 71461-4526

Mailing address

794 Holly St
New Llano, LA 71461-4526
Phone (337) 424-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211116000544 LA Practitioner - Nurse Practitioner 3678962594 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Kisatchie Emergency Group LLCGroup PAC ID 9537400270, 19 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-5278

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
70.88
Improvement activities
40
Cost
75.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220695LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Jun 4, 2022 Accepting new patients
South Central Physicians PLLC Family CurrentSince Apr 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Apr 1, 2023 Accepting new patients
Kisatchie Emergency Group, LLC CurrentSince Oct 9, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince Apr 1, 2023 Accepting new patients
Acs Primary Care Physicians Louisiana PC CurrentSince Nov 1, 2021 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1851962740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 HOLLY ST",
            "city": "NEW LLANO",
            "state": "LA",
            "postal_code": "714614526",
            "telephone_number": "337-424-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 HOLLY ST",
            "city": "NEW LLANO",
            "state": "LA",
            "postal_code": "714614526",
            "telephone_number": "337-424-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAWAY",
        "first_name": "DANIELLA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Llano, LA

Sources for this page

Verify at the official NPI Registry.