Individual
MRS. DANIELLE WALLINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
908
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025001900
—
NE
01
—
30387
BLUE SHIELD
NE
01
—
5300850
MEDICAID
SD
05
—
5300850
—
SD
01
—
9210187
DAKOTACARE
NE
01
—
9955
MIDLANDS CHOICE
NE
Enumeration date
10/02/2006
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up