Individual provider Active NPI

Danielle Conol

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1902458706
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11041H Issued in AZ
Practice address
4302 E Saint John Rd
Phoenix, AZ 85032-2285
Phone
(602) 354-4440
Fax
(602) 354-4440
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11041H AZ Primary

Addresses

Primary practice location

4302 E Saint John Rd
Phoenix, AZ 85032-2285

Mailing address

4302 E Saint John Rd
Phoenix, AZ 85032-2285
Phone (602) 354-4440

Other identifiers 1

IdentifierTypeStateIssuer
505234MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL daniellealh4302@gmail.com
CONNECT URL Daniellealh4302@gmail.com

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

LicenseStateTypeSpecialty
AL11041HAZMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1902458706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 E SAINT JOHN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322285",
            "telephone_number": "602-354-4440",
            "fax_number": "602-354-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 E SAINT JOHN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322285",
            "telephone_number": "602-354-4440",
            "fax_number": "602-354-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOL",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL11041H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505234",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "daniellealh4302@gmail.com",
            "affiliation": "N",
            "address_1": "4302 E Saint John Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850322285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Daniellealh4302@gmail.com",
            "affiliation": "N",
            "address_1": "4302 E Saint John Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850322285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.