Danny Wayne Credeur, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

628700 Issued in TX

Practice address

5885 W Port Arthur Rd
Port Arthur, TX 77640-1754

Phone

(409) 736-2800

Fax

(409) 736-0361

NPI assigned

Jul 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jasper County Urgent Care PLLCGroup PAC ID 8820365695, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23344/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jasper County Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Jasper, TX
  • NPI 1972038503
  Medicare reassignment Care Compare group NPD
• Port Arthur Emergency Physicians

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1255491627
  Medicare reassignment NPD

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1962716233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 W PORT ARTHUR RD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401754",
            "telephone_number": "409-736-2800",
            "fax_number": "409-736-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 W PORT ARTHUR RD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401754",
            "telephone_number": "409-736-2800",
            "fax_number": "409-736-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREDEUR",
        "first_name": "DANNY",
        "middle_name": "WAYNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "628700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Country Road Emergency Physicians, PLLC
• Barbara Ann Courville, M.B.A.,LPC
• Denise Craig, FNP-C
• Dustin Kyle Craver, PT, DPT
• Bradley Alan Crawford, IDHS
• Charlene Crowe, PEER SPECIALIST
• Mary Joyce Cruz-Manuel, P.T.
• Mark Alexander Culver, P.T., D.P.T.
• Roy Culver Jr., PTA
• Stephanie Prince Cunningham, D.O.

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.