Individual provider Active NPI

Dakota Leviner, RN

  • Registered Nurse
  • Pembroke, NC
National Provider Identifier
1023733466
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
337384 Issued in NC
Practice address
86 Three Hunts Dr
Pembroke, NC 28372-8998
Phone
(910) 522-0408
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 337384 NC Primary

Addresses

Primary practice location

86 Three Hunts Dr
Pembroke, NC 28372-8998

Mailing address

86 Three Hunts Dr
Pembroke, NC 28372-8998

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Patagonia Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
337384NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1023733466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 THREE HUNTS DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THREE HUNTS DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728998",
            "telephone_number": "910-522-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINER",
        "first_name": "DAKOTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "337384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Patagonia",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "patagonia",
            "address_1": "86 Three Hunts Dr",
            "city": "Pembroke",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283728998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.