Individual provider Active NPI

Daniel Halter

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1962828681
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5329 Issued in AZ
Practice address
1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313
Phone
(623) 234-9811
NPI assigned
Mar 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5329 AZ Primary

Addresses

Primary practice location

1840 N 95TH Ave Ste 160
Phoenix, AZ 85037-4313

Mailing address

3415 E Arabian Dr
Gilbert, AZ 85296-0645
Phone (480) 861-3787

Other practice location 1

10220 N 31st Ave
Phoenix, AZ 85051-9581
Phone (602) 997-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ID, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140609001691 AZ Practitioner - Nurse Practitioner 4880818079 Reassigns benefits to 1 organization
I20240912003702 ID Practitioner - Nurse Practitioner 4880818079 Reassigns benefits to 1 organization
I20241227000546 WA Practitioner - Nurse Practitioner 4880818079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nvelup Telehealth PLLCGroup PAC ID 7719398569, 5 clinicians

Practice addresses (Care Compare)

1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (904) 420-7343

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haas Associates, LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Jewish Family & Children'S Service CurrentSince Aug 14, 2014 Accepting new patients
Jewish Family & Children'S Service CurrentSince Aug 14, 2014 Accepting new patients
Nvelup Telehealth PLLC CurrentSince Sep 26, 2024 Accepting new patients

Locations

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

1840 N 95th Ave
Ste 146
Phoenix, AZ 85037
Phone (623) 234-9811

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

9327 W Cory Ln
Boise, ID 83704
Phone (208) 376-1300

1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: daniel.halter.1@25305.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25305/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1962828681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 E ARABIAN DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960645",
            "telephone_number": "480-861-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N 95TH AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374313",
            "telephone_number": "623-234-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 N 31st Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850519581",
            "country_code": "US",
            "telephone_number": "602-997-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTER",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.