Active NPI
Danielle Marie Halloran, CDE
- Diabetes Educator Registered Nurse
- Monticello, NY
National Provider Identifier
1902128424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 578726
- Practice address
- 68 Harris Bushville Rd
Monticello, NY 12701-3027 - Phone
- (845) 794-3300
- Fax
- (845) 791-4136
- NPI assigned
- Feb 25, 2010
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 578726 | NY | Primary |
Addresses
Primary practice location
68 Harris Bushville Rd
Monticello, NY 12701-3027
Mailing address
68 Harris Bushville Rd
PO Box 421
Harris, NY 12742-0421
Phone (845) 794-3300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578726 | NY | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catskill Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Monticello, NY
- NPI 1720039563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1902128424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 HARRIS BUSHVILLE RD",
"address_2": "PO BOX 421",
"city": "HARRIS",
"state": "NY",
"postal_code": "127420421",
"telephone_number": "845-794-3300",
"fax_number": "845-791-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 HARRIS BUSHVILLE RD",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127013027",
"telephone_number": "845-794-3300",
"fax_number": "845-791-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLORAN",
"first_name": "DANIELLE",
"middle_name": "MARIE",
"credential": "CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "578726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.