Active NPI
Danielle Rae Koman, DNP
- Family Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1114289238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005657
- Practice address
- 421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000 - Phone
- (888) 731-8994
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5005657 | NC | Primary |
| Nurse Practitioner | 363L00000X | 5005657 | NC |
Addresses
Primary practice location
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Mailing address
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (888) 731-8994
Other practice location 1
4254 W Orchid Ln
Chandler, AZ 85226-7246
Phone (888) 731-3899
Other practice location 2
222 2nd Ave S Fl 17
Nashville, TN 37201-2366
Phone (888) 731-8994
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5005657 | Other | NC | NURSE PRACTITIONER |
| 30062 | Other | TN | APRN |
| 255194 | Other | NC | RN |
| AP10597 | Other | AZ | APRN |
Other names 1
- Danielle Rae Cooper
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005657 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients |
Interoperability endpoints
- danielle.koman.1@14940.direct.athenahealth.com
- danielle.koman.1@27069.direct.athenahealth.com
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1114289238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 FAYETTEVILLE ST STE 1100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276013000",
"telephone_number": "888-731-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 FAYETTEVILLE ST STE 1100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276013000",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "4254 W Orchid Ln",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852267246",
"country_code": "US",
"telephone_number": "888-731-3899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 2nd Ave S Fl 17",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372012366",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOMAN",
"first_name": "DANIELLE",
"middle_name": "RAE",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005657",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005657",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "5005657",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "30062",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "255194",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "AP10597",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "COOPER",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.