Individual provider Active NPI

Danielle Connolly Brown, FNP

  • Family Nurse Practitioner
  • Paso Robles, CA
National Provider Identifier
1972240950
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020668 Issued in CA
Practice address
612 Spring St Ste 202
Paso Robles, CA 93446
Phone
(805) 239-2159
Fax
(820) 345-0429
NPI assigned
May 19, 2022
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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 95020668 CA Primary

Addresses

Primary practice location

612 Spring St Ste 202
Paso Robles, CA 93446

Mailing address

612 12TH St
Paso Robles, CA 93446-2298
Phone (805) 239-2159

Other practice location 1

1551 Bishop St Ste B240
San Luis Obispo, CA 93401-4635
Phone (805) 549-0402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220805000311 CA Practitioner - Nurse Practitioner 6002298148 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Feb 1, 2024 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients

Locations

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

1551 Bishop St
Ste B240
San Luis Obispo, CA 93401
Phone (805) 549-0402

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

1551 Bishop St
Ste 240
Sn Luis Obisp, CA 93401
Phone (805) 434-1038

1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230

1330 Las Tablas Rd
Templeton, CA 93465
Phone (805) 443-4103

Interoperability endpoints

  • Direct secure messaging: danielle.brown.1@17363.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1972240950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 12TH ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462298",
            "telephone_number": "805-239-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SPRING ST STE 202",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "93446",
            "telephone_number": "805-239-2159",
            "fax_number": "820-345-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Bishop St Ste B240",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014635",
            "country_code": "US",
            "telephone_number": "805-549-0402",
            "fax_number": "805-549-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DANIELLE",
        "middle_name": "CONNOLLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.