Active NPI
Danielle Moore
- Occupational Therapist
- Elkhorn, NE
National Provider Identifier
1942974373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2489
- Practice address
- 400 S 210TH St
Elkhorn, NE 68022-2166 - Phone
- (308) 520-2907
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2489 | NE | Primary |
Addresses
Primary practice location
400 S 210TH St
Elkhorn, NE 68022-2166
Mailing address
9205 Valley View Dr
La Vista, NE 68128-3154
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
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 |
|---|---|---|---|
| 2489 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1942974373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9205 VALLEY VIEW DR",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681283154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 210TH ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222166",
"telephone_number": "308-520-2907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2489",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "400 S 210th St",
"city": "Elkhorn",
"state": "NE",
"country_code": "US",
"postal_code": "680222166",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.