Individual provider Active NPI

Danielle Johnson, PA-C

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1891339032
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5630 Lowery Rd
Norfolk, VA 23502-2233
Phone
(757) 455-5009
Fax
(757) 362-3577
NPI assigned
Oct 31, 2019
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

5630 Lowery Rd
Norfolk, VA 23502-2233

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

1069 Centerbrooke Ln
Suffolk, VA 23434-8475
Phone (757) 925-1860

Other practice location 2

1035 Champions Way Ste 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

Other practice location 3

12695 McManus Blvd Ste 4A-B
Newport News, VA 23602-4435
Phone (757) 369-0439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210630002966 VA Practitioner - Physician Assistant 9537560313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

1035 Champions Way
Suite 100
Suffolk, VA 23435-3762
Phone (757) 967-0790

1069 Centerbrooke LN
Suffolk, VA 23434-8475
Phone (757) 925-1860

12695 McManus Blvd
Suite 4Aandb
Newport News, VA 23602-4435
Phone (757) 369-0439

5630 Lowery Rd
Norfolk, VA 23502-2233
Phone (757) 455-5009

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Dermatology & Skin Cancer Center PLLC PastSince Nov 1, 2019 Accepting new patients
Virginia Dermatology Skin Cancer Center Suffolk PastSince Nov 21, 2021 Accepting new patients

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1891339032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 LOWERY RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022233",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1069 Centerbrooke Ln",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348475",
            "country_code": "US",
            "telephone_number": "757-925-1860",
            "fax_number": "757-925-1863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Champions Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353762",
            "country_code": "US",
            "telephone_number": "757-967-0790",
            "fax_number": "757-967-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12695 McManus Blvd Ste 4A-B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024435",
            "country_code": "US",
            "telephone_number": "757-369-0439",
            "fax_number": "757-369-0513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.