Individual provider Active NPI

Danielle Autumn Halbrook, RN

  • Community Health Registered Nurse
  • Eugene, OR
National Provider Identifier
1891043535
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
201242432RN Issued in OR
Practice address
1617 Larkspur Loop
Eugene, OR 97401-7267
Phone
(541) 285-8397
NPI assigned
Aug 28, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 201242432RN OR Primary

Addresses

Primary practice location

1617 Larkspur Loop
Eugene, OR 97401-7267

Mailing address

1617 Larkspur Loop
Eugene, OR 97401-7267
Phone (541) 285-8397

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

LicenseStateTypeSpecialty
201242432RNORMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1891043535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 LARKSPUR LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017267",
            "telephone_number": "541-285-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 LARKSPUR LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017267",
            "telephone_number": "541-285-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBROOK",
        "first_name": "DANIELLE",
        "middle_name": "AUTUMN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201242432RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.