DANIELLE SHADRACH NP NPI 1053958678

NPI Information

NPI: 1053958678
Provider Name: DANIELLE SHADRACH, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MERCY CLINIC SPRINGFIELD COMMUNITIES

PECOS Registration: Yes

Address:
1640 E KEARNEY ST
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 863-9190
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Danielle Shadrach, NP is a family nurse practitioner in Springfield, MO with 4 years of experience. Danielle Shadrach, NP NPI is 1053958678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

1640 E KEARNEY ST
SPRINGFIELD, MO
ZIP 65803-106
Phone: (417) 863-9190

The NPI 1053958678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2020029486	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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