Individual provider Active NPI

Danielle Nicole Lewis, WHNP

  • Women's Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1619587904
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5013379 Issued in NC
Practice address
4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552
Phone
(919) 556-1008
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5013379 NC Primary

Addresses

Primary practice location

4551 New Bern Ave Ste 160
Raleigh, NC 27610-1552

Mailing address

7535 Carpenter Fire Station Rd
Ste 105
Cary, NC 27519-8969
Phone (919) 230-2100

Other practice location 1

3350 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 556-1008

Other names 1

  • Nicole Lewis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013379NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Dermatology Associates PA CurrentSince Oct 1, 2023 Accepting new patients
Anne Arundel Dermatology Affiliates PC PastSince Oct 1, 2023 Accepting new patients

Locations

800 Springfield Commons Dr
Ste 115
Raleigh, NC 27609
Phone (919) 876-3656

Interoperability endpoints

  • Direct secure messaging: dnlewis@aadermaffiliates.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1619587904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 CARPENTER FIRE STATION RD",
            "address_2": "STE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198969",
            "telephone_number": "919-230-2100",
            "fax_number": "919-230-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 NEW BERN AVE STE 160",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101552",
            "telephone_number": "919-556-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Six Forks Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097233",
            "country_code": "US",
            "telephone_number": "919-556-1008",
            "fax_number": "919-556-6099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5013379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LEWIS",
            "credential": "WHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.