Individual provider Active NPI

Danielle Justice, FNP-C

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1912603937
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4051623 Issued in KY
Practice address
2930 Carter Ave
Ashland, KY 41101-1943
Phone
(606) 324-1483
NPI assigned
Feb 1, 2023
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 4051623 KY Primary
Nurse Practitioner 363L00000X 115545 WV

Addresses

Primary practice location

2930 Carter Ave
Ashland, KY 41101-1943

Mailing address

2504 Lexington Ave
Ashland, KY 41101-2946
Phone (740) 464-7092

Other practice location 1

2828 1st Ave Ste 200
Huntington, WV 25702-1236
Phone (304) 399-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230503001880 WV Practitioner - Nurse Practitioner 8820453467 Reassigns benefits to 1 organization
I20260209002648 KY Practitioner - Nurse Practitioner 8820453467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2828 1St Ave
Suite 200
Huntington, WV 25702-1236
Phone (304) 399-7530

2930 Carter Ave
Ashland, KY 41101-1943
Phone (606) 324-1483

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4051623KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Management, LLC CurrentSince Mar 6, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 2, 2026 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 2, 2026 Accepting new patients
St. Mary's Medical Management, LLC Nurse Practitioner CurrentSince Mar 6, 2023 Accepting new patients
Kinetic Anesthesia Services Past Accepting new patients
Cade Counseling and Consulting Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2930 Carter Ave
Ashland, KY 41101
Phone (606) 324-1483

2828 1st Ave
Ste 200
Huntington, WV 25702
Phone (304) 399-7530

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

Organizations & group practices 7

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 2

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1912603937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012946",
            "telephone_number": "740-464-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011943",
            "telephone_number": "606-324-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 1st Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021236",
            "country_code": "US",
            "telephone_number": "304-399-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4051623",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "115545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.