Active NPI
Penina Danziger, FNP-C
- Family Nurse Practitioner
- Bartlett, TN
National Provider Identifier
1992226153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5019611
- Practice address
- 6570 Summer Oaks CV
Bartlett, TN 38134 - Phone
- (901) 373-7100
- Fax
- (901) 842-0020
- NPI assigned
- Jun 28, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 24366 | TN | |
| Primary Care Nurse Practitioner | 363LP2300X | 341942 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00656200 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 5019611 | NC | Primary |
Addresses
Primary practice location
6570 Summer Oaks CV
Bartlett, TN 38134
Mailing address
P O Box 1000 Dept 978
Memphis, TN 38148-0001
Phone (901) 373-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313004007 | NC | Practitioner - Nurse Practitioner | 7517219553 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00656200 | NJ | MD | Primary Care Nurse Practitioner |
| 341942 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venvisor Health of NC | Current | Accepting new patients |
Locations
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
Interoperability endpoints
- penina.danziger@237407481626628.direct.elationemr.com
Organizations & group practices 1
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": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1992226153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 1000 DEPT 978",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-373-7100",
"fax_number": "901-842-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6570 SUMMER OAKS CV",
"city": "BARTLETT",
"state": "TN",
"postal_code": "38134",
"telephone_number": "901-373-7100",
"fax_number": "901-842-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANZIGER",
"first_name": "PENINA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24366",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "341942",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00656200",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5019611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.