DARREN EDWARD DANNHOFF BS/M.E.P.D., NPI 1245409986 — LA CROSSE (WI)

NPI 1245409986

11+ Years Experience Individual

DARREN EDWARD DANNHOFF BS/M.E.P.D.

02/27/2008
PROVIDER ENUMERATION DATE
02/27/2008
LAST UPDATE DATE
1245409986
NPI NUMBER

About DARREN EDWARD DANNHOFF

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DARREN EDWARD DANNHOFF is a provider established in LA CROSSE, WI. The NPI number of DARREN EDWARD DANNHOFF is 1245409986 and was assigned on 02/27/2008. The practitioners primary taxonomy code is: 171M00000X with license number: 4571 WI .

Mailing address

  • City: LA CROSSE
  • State: WI
  • Postal code: 54601
  • Phone: 6087875668
  • Address: 930 6TH STREET SOUTH

Primary Practice Address

  • Region : LA CROSSE, WI
  • NPI : 1245409986
  • Phone : 6087856177
  • Fax : 6087856315
  • Postalcode : 546032378
  • Address : 1407 SAINT ANDREW ST STE 100

Provider taxonomy - Case Manager/Care Coordinator

  • Taxonomy code: 171M00000X
  • License number: 4571
  • License state: WI

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee"s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Contacts:

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  • DARREN EDWARD DANNHOFF BS/M.E.P.D.
  • Address : 1407 SAINT ANDREW ST STE 100
  • Region : LA CROSSE, WI
  • NPI : 1245409986
  • Phone : 6087856177
  • Fax : 6087856315
  • Postalcode : 546032378

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1407 SAINT ANDREW ST STE 100
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLA CROSSE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameWI
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code546032378
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6087856177
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6087856315
The fax number associated with the location address of the provider being identified.
NPI1245409986
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1171M00000X
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee"s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Provider Enumeration Date02/27/2008
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated02/27/2008
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DARREN EDWARD DANNHOFF
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address930 6TH STREET SOUTH
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLA CROSSE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameWI
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code54601
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6087875668
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1171M00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Case Manager/Care Coordinator
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee"s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Provider License Number 14571
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1WI
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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