Healthcare Provider Details

I. General information

NPI: 1306768221
Provider Name (Legal Business Name): DANIELLE J SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE KRATZER

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 E NORTHFIELD DR STE 600
BROWNSBURG IN
46112-2435
US

IV. Provider business mailing address

480 E NORTHFIELD DR STE 600
BROWNSBURG IN
46112-2435
US

V. Phone/Fax

Practice location:
  • Phone: 317-932-0099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number23002970A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: