Marie A. Danley, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209006598 Issued in IL

Practice address

18TH Medical Group
Unit 5142
Apo, AP 96368-5142

Phone

(315) 630-4030

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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.

• Apogee Medical Group Alabama Inc

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1114974631
  NPD (past)
• Deatrice L Kellogg MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Swansea, IL
  • NPI 1023058484
  NPD (past)
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  NPD (past)
• PC Associates LLC

  • Internal Medicine Physician
  • O'Fallon, IL
  • NPI 1235452855
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

• Marie A Walthall Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2015.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1891993010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "18TH MEDICAL GROUP",
            "address_2": "UNIT 5142",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "18TH MEDICAL GROUP",
            "address_2": "UNIT 5142",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685142",
            "telephone_number": "315-630-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANLEY",
        "first_name": "MARIE",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "WALTHALL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.