Individual provider Active NPI

Danielle L Harris, CNS

  • Clinical Nurse Specialist
  • Brooklyn, OH
National Provider Identifier
1992712327
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
RN301626 Issued in OH
Practice address
7575 Northcliff Ave Ste 200
Brooklyn, OH 44144-3268
Phone
(216) 417-3700
Fax
(216) 675-3700
NPI assigned
Aug 1, 2006
Last updated
Feb 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X RN301626 OH Primary

Addresses

Primary practice location

7575 Northcliff Ave Ste 200
Brooklyn, OH 44144-3268

Mailing address

4686 W 228TH St
Fairview Park, OH 44126-2423
Phone (216) 835-8323

Other identifiers 1

IdentifierTypeStateIssuer
2675725MedicaidOH

Other names 1

  • Danielle L Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060906000007 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 9133123110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians

Practice addresses (Care Compare)

819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN301626OHMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven V Kozmary MD LLC CurrentSince May 1, 2019 Accepting new patients
Addiction Outreach Clinic LTD CurrentSince Apr 28, 2024 Accepting new patients
Steven V Kozmary MD LLC CurrentSince May 1, 2019 Accepting new patients

Locations

7575 Northcliff Ave
Ste 200
Cleveland, OH 44144
Phone (216) 417-3700

184 Currie Hall Pkwy
Ste 2
Kent, OH 44240
Phone (330) 967-8077

5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200

819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6591/brand/1/csg/1/fhir/r4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1992712327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 W 228TH ST",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262423",
            "telephone_number": "216-835-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 NORTHCLIFF AVE STE 200",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443268",
            "telephone_number": "216-417-3700",
            "fax_number": "216-675-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIELLE",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "OH",
            "license": "RN301626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675725",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BROWN",
            "middle_name": "L",
            "credential": "CNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, OH

Sources for this page

Verify at the official NPI Registry.