Individual provider Active NPI

Danielle Pettay Elliott, N.P.

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1982919536
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0010278-NP Issued in CO
Practice address
4567 E 9TH Ave
Denver, CO 80220-3908
Phone
(303) 320-2121
NPI assigned
Aug 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0010278-NP CO Primary

Addresses

Primary practice location

4567 E 9TH Ave
Denver, CO 80220-3908

Mailing address

4567 E 9TH Ave
Denver, CO 80220-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100913000399 CO Practitioner - Nurse Practitioner 5991820144 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Oct 15, 2019 Accepting new patients
Healthone Clinic Services - Cardiovascular LLC CurrentSince Jun 17, 2024 Accepting new patients
Evoke Medical Care LLC CurrentSince May 8, 2020 Accepting new patients
Valley View Hospital Association CurrentSince Oct 15, 2019 Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

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": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1982919536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4567 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203908",
            "telephone_number": "303-320-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DANIELLE",
        "middle_name": "PETTAY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0010278-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.