Individual provider Active NPI

Danielle Johnston, RPA-C

  • Physician Assistant
  • Clarence, NY
National Provider Identifier
1902118433
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014020-1 Issued in NY
Practice address
9276 Main St
Suite 1a
Clarence, NY 14031-1969
Phone
(716) 759-7759
NPI assigned
Jul 13, 2010
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 014020-1 NY Primary

Addresses

Primary practice location

9276 Main St
Suite 1a
Clarence, NY 14031-1969

Mailing address

10865 Keller Rd
Clarence, NY 14031-1012

Other names 1

  • Ms. Danielle Corbett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101118000012 NY Practitioner - Physician Assistant 2264628189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Dee MD PLLCGroup PAC ID 2264403591, 5 clinicians

Practice addresses (Care Compare)

9276 Main St
Suite 1a
Clarence, NY 14031-1969
Phone 71675977596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014020-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC Past Accepting new patients
Exigence Medical of Olean, PLLC Past 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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1902118433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10865 KELLER RD",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9276 MAIN ST",
            "address_2": "SUITE 1A",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311969",
            "telephone_number": "716-759-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014020-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CORBETT",
            "prefix": "MS.",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarence, NY

Sources for this page

Verify at the official NPI Registry.