DANIELLE NICOLE HARRIS (NPI# 1497119648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497119648 |
| Entity Type | Individual |
| Full Name | DANIELLE NICOLE HARRIS |
| Credential | D.O. |
| Practice Address |
10607 Randolph St Ste A Crown Point IN 46307-7505 |
| Mailing Address |
2277 Inverray Rd Inverness IL 60067-4531 |
| Practice Telephone | 2196634007 |
| Mailing Telephone | 8478631372 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02005756A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300029260 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 604611010 | 7087474000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629637319 | Danielle Harris | Behavior Technician | 2245 Parker St, Dearborn, MI 48124-3416 | 2019-06-06 |
| 1689239998 | Danielle Harris | Counselor | 1371 Hollow Rock Dr, Colorado Springs, CO 80911-3868 | 2019-05-02 |
| 1306387568 | Danielle Harris | Counselor | 101 W H St, Butner, NC 27509 | 2017-03-20 |
| 1659647212 | Danielle Alexandra Harris | Counselor | 1659 Merrimac Trail, Williamsburg, VA 23185 | 2012-03-28 |
| 1992075386 | Danielle Selvin Harris | Psychologist | 3625 E Thousand Oaks Blvd Ste 209, Westlake Village, CA 91362-3566 | 2012-01-03 |
| 1992712327 | Danielle L Harris | Clinical Nurse Specialist | 7575 Northcliff Ave Ste 200, Brooklyn, OH 44144-3268 | 2006-08-01 |
| 1932708906 | Danielle Harris | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2020-10-21 |
| 1003437476 | Danielle Harris | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-27 |
| 1154971166 | Danielle Marie Harris | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-09-12 |
| 1457917056 | Danielle Harris | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-05-20 |
| Street Address |
10607 RANDOLPH ST STE A |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639583404 | Nicole Mosley | Family Medicine | 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307-6902 | 2014-06-19 |
| 1881947521 | Nuform Physical Therapy LLC | Family Medicine | 10996 Four Seasons Pl Ste 100a, Crown Point, IN 46307-8685 | 2012-10-18 |
| 1124166038 | The Good Doctor, P.C. | Family Medicine | 952 S Court St, Crown Point, IN 46307-4848 | 2007-02-02 |
| 1477600401 | Crown Family Medicine, LLC | Family Medicine | 200 S West St, Crown Point, IN 46307-3908 | 2007-01-04 |
| 1457362519 | Karin G. Patterson | Family Medicine | 10607 Randolph Street, Suite A, Crown Point, IN 46307-7504 | 2006-08-11 |
| 1104843937 | Donald Pesavento | Family Medicine | 9301 Connecticut Drive, Crown Point, IN 46307-7486 | 2006-07-17 |
| 1245260694 | Karen E. Leitzel, Md, LLC | Family Medicine | 7636 E 109th Ave, Crown Point, IN 46307-9182 | 2006-07-03 |
| 1427003060 | Elizabeth Przeniczny | Family Medicine | 5265 Commerce Dr, Crown Point, IN 46307-5326 | 2006-05-23 |
| 1376514950 | Julie Ann Derosa | Family Medicine | 10090 Georgia Street, Suite #3, Crown Point, IN 46307 | 2006-01-31 |
| 1861462012 | Lisa Denise Mullally | Family Medicine | 11275 Delaware Pkwy, Crown Point, IN 46307-7812 | 2006-01-23 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on DANIELLE NICOLE HARRIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.