Individual provider Active NPI

Danielle R Miller, RN, NP-C

  • Gerontology Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1902467038
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704282702 Issued in MI
Practice address
2100 Raybrook St SE Ste 100
Grand Rapids, MI 49546-5782
Phone
(616) 235-5101
Fax
(616) 949-9020
NPI assigned
Jun 28, 2019
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704282702 MI
Gerontology Nurse Practitioner 363LG0600X 4704282702 MI Primary

Addresses

Primary practice location

2100 Raybrook St SE Ste 100
Grand Rapids, MI 49546-5782

Mailing address

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315-8288
Phone (616) 235-5101

Other practice location 1

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-8000

Other practice location 2

350 Lafayette Ave SE Ste 301
Grand Rapids, MI 49503-4656
Phone (616) 459-0801

Other names 1

  • Danielle R Dobbs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190814002401 MI Practitioner - Nurse Practitioner 5092042002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith HospiceGroup PAC ID 9436102845, 9 clinicians

Practice addresses (Care Compare)

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315-8288
Phone (616) 356-4820

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Palliative Care CurrentSince Feb 28, 2022 Accepting new patients
Faith Hospice Current Accepting new patients

Locations

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315
Phone (616) 235-5100

2100 Raybrook St SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 235-5101

2100 Raybrook St SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 235-5100

Interoperability endpoints

  • Direct secure messaging: danielle.miller.1@16329.direct.athenahealth.com
  • Direct secure messaging: dmiller103531@direct.covenanthealthcare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1902467038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 PFEIFFER FARMS DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158288",
            "telephone_number": "616-235-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465782",
            "telephone_number": "616-235-5101",
            "fax_number": "616-949-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Wealthy St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495035247",
            "country_code": "US",
            "telephone_number": "616-840-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Lafayette Ave SE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034656",
            "country_code": "US",
            "telephone_number": "616-459-0801",
            "fax_number": "616-459-4065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704282702",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704282702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DOBBS",
            "middle_name": "R",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.