Individual provider Active NPI

Danni Denise Owens, FNP

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1912631425
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP280325 Issued in AZ
Practice address
1858 Golden Gate Ave
Kingman, AZ 86401-4055
Phone
(928) 529-5349
NPI assigned
Jul 11, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RNP280325 AZ Primary

Addresses

Primary practice location

1858 Golden Gate Ave
Kingman, AZ 86401-4055

Mailing address

2817 Rawhide Dr
Kingman, AZ 86401-7819
Phone (928) 279-5076

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address devinehealthcare1@outlook.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221109002797 AZ Practitioner - Nurse Practitioner 3072980762 Receives reassigned benefits from 1 practitioner
Practice locations: Kingman, AZ

Care Compare profile

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

Practice addresses (Care Compare)

1115 N Stockton Hill Rd
Suite 101
Kingman, AZ 86401-6232
Phone (928) 263-1481

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP280325AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Slimming Grace LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1115 N Stockton Hill Rd
Ste 101
Kingman, AZ 86401
Phone (928) 263-1481

3787 N Stockton Hill Rd
Ste B
Kingman, AZ 86409
Phone (928) 279-5076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1912631425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 RAWHIDE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017819",
            "telephone_number": "928-279-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 GOLDEN GATE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014055",
            "telephone_number": "928-529-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DANNI",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP280325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "devinehealthcare1@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1858 Golden Gate Ave",
            "city": "Kingman",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864014055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.