ELIZABETH SMITH DANNEWALD


Address: 625 E Broadway Ave, Jackson, WY 83001
Phone: 3077396195

ELIZABETH SMITH DANNEWALD (NPI# 1669949590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669949590
Entity Type Individual
Full Name ELIZABETH SMITH DANNEWALD
Credential APRN, AGPCNP-BC
Practice Address 625 E Broadway Ave
Jackson
WY 83001
Mailing Address Po Box 428
Jackson
WY 83001-0428
Practice Telephone 3077396195
Practice Fax Number 3077397229
Mailing Telephone 3077396195
Mailing Fax Number 3077397229
Enumeration Date 2018-10-29
Last Update Date 2019-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 44970 WY Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 200586 LA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
44970 WY Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
44970 WY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4200 Houma Blvd, Metairie, LA 700062996 5045035940

Office Location

Street Address 625 E BROADWAY AVE
City JACKSON
State WY
Zip Code 83001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679534432 Lars T Conway Pathology 625 E Broadway Ave, Jackson, WY 83001-8642 2006-03-31
1154969251 Michelle Robertson Dietitian, Registered 625 E Broadway Ave, Jackson, WY 83001-8642 2019-12-19
1942848072 Anna Sigrid Eide Dietitian, Registered 625 E Broadway Ave, Jackson, WY 83001-8642 2019-12-19
1104464734 Lisa Lauritzen Smith Dietitian, Registered 625 E Broadway Ave, Jackson, WY 83001-8642 2019-12-13
1598325193 Katrina Rush Occupational Therapist 625 E Broadway Ave, Jackson, WY 83001-8642 2019-06-17
1528533973 Hanna Kirsten Occupational Therapy Assistant 625 E Broadway Ave, Jackson, WY 83001-8642 2018-10-11
1891270500 Jamie Loomis Physical Therapy Assistant 625 E Broadway Ave, Jackson, WY 83001-8642 2018-09-27
1942784806 Jared Travis Martin Physical Therapy Assistant 625 E Broadway Ave, Jackson, WY 83001-8642 2018-09-17
1891274320 Wendy Carbone Physical Therapist 625 E Broadway Ave, Jackson, WY 83001-8642 2018-08-07
1144732736 4js LLC Registered Nurse 625 E Broadway Ave, Jackson, WY 83001-8642 2017-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332546 Jaleesa Atkins Nurse Practitioner 4266 Springbrook Rd, Jackson, MI 49201-9716 2020-07-01
1457983785 Amos N Macharia Nurse Practitioner 2130 Ridge Rd, Jackson, MO 63755-1612 2020-02-05
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1851934723 Hannah Louise Keel Nurse Practitioner 623 Gettysburg Dr, Jackson, TN 38305-7886 2019-10-23
1013559186 Kirsten Siler Nurse Practitioner 27a Medical Center Drive, Jackson, TN 38301-3949 2019-10-10
1801447693 Milestone Primary Care House Calls, LLC Nurse Practitioner 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131 2019-09-24
1750855870 Michael L Chesney Nurse Practitioner 6055 Jordan Rd, Jackson, MI 49201-9580 2019-01-12
1609356500 Angela Sophia Mcreynolds Nurse Practitioner 2500 N State St Rm S347, Jackson, MS 39216-4500 2018-08-20
1679050132 Alicia Faye Green Nurse Practitioner 908 Bella Vista Dr, Jackson, MO 63755-7863 2018-07-26
1982119228 Felix Taylor Nurse Practitioner 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 2017-12-08
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Competitor

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City JACKSON
Zip Code 83001

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Dataset Information

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.

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