Provider Demographics
NPI:1588543995
Name:THE PIVOT NURSE, INC.
Entity type:Organization
Organization Name:THE PIVOT NURSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CNE
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:KELLER
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,MSN, BSN, RN
Authorized Official - Phone:224-518-4633
Mailing Address - Street 1:6301 N SHERIDAN RD APT 10G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1706
Mailing Address - Country:US
Mailing Address - Phone:224-518-4633
Mailing Address - Fax:
Practice Address - Street 1:6301 N SHERIDAN RD APT 10G
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1706
Practice Address - Country:US
Practice Address - Phone:224-518-4633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty