Active NPI
Danielle Bennett, MD
- Pediatrics Physician
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 102556
- Practice address
- 303 E Nicollet Blvd
Burnsville, MN 55337-4522 - Phone
- (952) 892-8770
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 102556 | MN | Primary |
Addresses
Primary practice location
303 E Nicollet Blvd
Burnsville, MN 55337-4522
Mailing address
303 E Nicollet Blvd
Burnsville, MN 55337-4522
Other names 1
- Danielle Gould
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
15650 Cedar Ave
Apple Valley, MN 55124
Phone (952) 997-4100
303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500
4151 Willowwood St SE
Prior Lake, MN 55372
Phone (952) 226-2600
Interoperability endpoints
- dbennett9177@fairview.direct-ci.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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1245422021
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1871502575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374522",
"telephone_number": "952-892-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DANIELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "102556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "GOULD",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.