Rieann Davina Dantzler

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5020663 Issued in NC

Practice address

107 Industrial Dr Ste C
Louisburg, NC 27549-2371

Phone

(919) 496-2533

NPI assigned

Feb 19, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of FranklinGroup PAC ID 5193720449, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• County of Franklin

  dba Franklin County Health Department

  • State or Local Public Health Clinic/Center
  • Louisburg, NC
  • NPI 1619058955
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1235994237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 INDUSTRIAL DR STE C",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 INDUSTRIAL DR STE C",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492371",
            "telephone_number": "919-496-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "RIEANN",
        "middle_name": "DAVINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Willis Cox Jr., PT
• William R Croninger, OT
• Lori Lockleair Cyrus, MSW
• D H Lee DMD PA
• D. H. Lee DMD PA (Louisburg Family Dentistry)
• Cassandra Davis
• Saniece L Davis, LCAS
• Allison Kathryn Dgien, PT,DPT
• Gemma Diez-Belano, OTR/L
• Darius Jose Ayala Divina, DO

• Family Nurse Practitioner in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.