Individual provider Active NPI

Danielle Brandenburg, CPNP-PC

  • Pediatric Nurse Practitioner
  • Holly Springs, NC
National Provider Identifier
1316759392
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5021553 Issued in NC
Practice address
242 S Main St Ste 210
Holly Springs, NC 27540-6053
Phone
(919) 924-8261
NPI assigned
Jan 24, 2025
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5021553 NC Primary

Addresses

Primary practice location

242 S Main St Ste 210
Holly Springs, NC 27540-6053

Mailing address

15 Rawls Meadow LN
Fuquay Varina, NC 27526-3780
Phone (919) 924-8261

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5021553NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Children & Adolescents Medicine, PC CurrentSince Jan 26, 2025 Accepting new patients

Locations

10208 Cerny St
Ste 100
Raleigh, NC 27617
Phone (919) 781-7490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDECAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1316759392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RAWLS MEADOW LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263780",
            "telephone_number": "919-924-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S MAIN ST STE 210",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406053",
            "telephone_number": "919-924-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "DANIELLE",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5021553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.