Breanna Nikkole Daley

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

601 Martin Luther King Jr. Drive
432 FL Atkins Building
Winston-Salem, NC 27110-0001

Phone

(336) 750-2000

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1043967995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MARTIN LUTHER KING JR. DRIVE",
            "address_2": "432 FL ATKINS BUILDING",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271100001",
            "telephone_number": "336-750-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MARTIN LUTHER KING JR. DRIVE",
            "address_2": "432 FL ATKINS BUILDING",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271100001",
            "telephone_number": "336-750-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "BREANNA",
        "middle_name": "NIKKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Azzarello Dakermandji, DO
• Joseph Georges Dakermandji, PA-C
• Meghna Dalal, PA-C
• Andrew McLean Dale, MD
• Trina Blair Dale
• Antoine Lamont Dalton, QSAP
• Shanika S Dalton, NCCPSS
• Timothy John Dalton, MD
• Iyanna Damanze, DPM
• Rochester Cooper Damon Jr.

• Student in an Organized Health Care Education/Training Program in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.