Individual provider Active NPI

Danielle Soutendijk, FNP

  • Family Nurse Practitioner
  • Garner, NC
National Provider Identifier
1003798018
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022732 Issued in NC
Practice address
901 US 70 Hwy W Ste 100
Garner, NC 27529-2664
Phone
(919) 977-7095
Fax
(919) 977-9289
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5022732 NC Primary

Addresses

Primary practice location

901 US 70 Hwy W Ste 100
Garner, NC 27529-2664

Mailing address

901 US 70 Hwy W Ste 100
Garner, NC 27529-2664
Phone (919) 977-7095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260207000220 NC Practitioner - Nurse Practitioner 5698254936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 US 70 Hwy W
Suite 100
Garner, NC 27529-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5022732NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Elite Women'S Care CurrentSince Dec 13, 2025 Accepting new patients
NC Mobile Anesthesia PastSince Jul 28, 2025 Accepting new patients

Locations

1884 Broad St
Fuquay Varina, NC 27526
Phone (919) 267-8555

901 US 70 Hwy W
Ste 100
Garner, NC 27529
Phone (919) 977-7095

2501 Atrium Dr
Ste 310
Raleigh, NC 27607
Phone (919) 783-7554

2501 Atrium Dr
Ste 100
Raleigh, NC 27607
Phone (910) 512-4357

Interoperability endpoints

  • Direct secure messaging: danielle.soutendijk.1@17199.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17199/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1003798018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 US 70 HWY W STE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292664",
            "telephone_number": "919-977-7095",
            "fax_number": "919-977-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 US 70 HWY W STE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292664",
            "telephone_number": "919-977-7095",
            "fax_number": "919-977-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTENDIJK",
        "first_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.