Active NPI
Danielle Nicole Lewis, WHNP
- Women's Health Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1619587904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 5013379
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013379 | NC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Dermatology Associates PA | Current | Accepting new patients | |
| Anne Arundel Dermatology Affiliates PC | Past | Accepting new patients |
Locations
800 Springfield Commons Dr
Ste 115
Raleigh, NC 27609
Phone (919) 876-3656
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Raleigh, NC
- NPI 1285674952
-
- Dermatology Physician
- Hunt Valley, MD
- NPI 1083200794
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.