Active NPI
Danielle Conley
- Phlebology Physician
- Memphis, TN
National Provider Identifier
1902785215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 060319-PWECW16393
- Practice address
- 6131 Village Park Rd
Memphis, TN 38141-7012 - Phone
- (901) 431-3664
- NPI assigned
- Aug 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 060319-PWECW16393 | TN | Primary |
Addresses
Primary practice location
6131 Village Park Rd
Memphis, TN 38141-7012
Mailing address
6131 Village Park Rd
Memphis, TN 38141-7012
Phone (901) 431-3664
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 |
|---|---|---|---|
| 060319-PWECW16393 | TN | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1902785215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6131 VILLAGE PARK RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417012",
"telephone_number": "901-431-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6131 VILLAGE PARK RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417012",
"telephone_number": "901-431-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "TN",
"license": "060319-PWECW16393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.