Daphne Elizabeth Damen, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024166920 Issued in VA

Practice address

21 Highland Ave SE
Suite 100
Roanoke, VA 24013-2201

Phone

(540) 855-9177

Fax

(540) 855-9178

NPI assigned

Mar 8, 2007

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daphne.damen.p1@direct.physicianstochildren.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Physicians to Children, Inc.

  • Pediatrics Physician
  • Roanoke, VA
  • NPI 1649362351
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1750412060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-855-9177",
            "fax_number": "540-855-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE SE",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132201",
            "telephone_number": "540-855-9177",
            "fax_number": "540-855-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMEN",
        "first_name": "DAPHNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024166920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750412060",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daphne.damen.p1@direct.physicianstochildren.nextgenshare.com",
            "affiliation": "N",
            "address_1": "21 Highland Ave SE",
            "address_2": "Suite 100",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240132201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert L. Dallas, M.D.
• Elizabeth Leaman Dalton, MS, CCC-SLP
• Kali Denise Dalton
• Sarah Stuckey Dalton
• Kimberly Daly, CRNA
• Jennifer Damon, LCSW
• Gregory Dams, PHD
• Minh-Chau T. Dang, M.D.
• Nicole Danh, NP-C
• Charles Douglas Daniel, M.D.

• Pediatric Nurse Practitioner in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.