Individual provider Active NPI

Daniel Nathan Kashdan, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1790927689
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177515 Issued in VA
Practice address
616 E Millbrook Rd Ste 110
Raleigh, NC 27609-5360
Phone
(804) 748-9071
Fax
(910) 346-1907
NPI assigned
Mar 24, 2009
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177515 VA Primary
Family Nurse Practitioner 363LF0000X 5014430 NC

Addresses

Primary practice location

616 E Millbrook Rd Ste 110
Raleigh, NC 27609-5360

Mailing address

616 E Millbrook Rd Ste 110
Raleigh, NC 27609-5360
Phone (804) 748-9071

Other practice location 1

576 Jefferson Ave
Fort Eustis, VA 23604-1373
Phone (757) 314-7575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210709000447 NC Practitioner - Nurse Practitioner 0345573770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

3604 Roger Branch Rd
Suite 106
Wake Forest, NC 27587-3491
Phone (919) 570-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024177515VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA CurrentSince Jun 1, 2021 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Dec 20, 2022 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Dec 20, 2022 Accepting new patients
Dispatchhealth, PC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1800 E Franklin St
Ste 11A
Chapel Hill, NC 27514
Phone (919) 968-1985

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888

5002 S Croatan Hwy
Ste A
Nags Head, NC 27959
Phone (252) 449-6115

1616 E Millbrook Rd
Ste 110
Raleigh, NC 27609
Phone (919) 341-4016

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

3604 Roger Branch Rd
Ste 106
Wake Forest, NC 27587
Phone (919) 570-2000

Interoperability endpoints

  • Direct secure messaging: daniel.kashdan.1@1905.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1790927689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E MILLBROOK RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095360",
            "telephone_number": "804-748-9071",
            "fax_number": "910-346-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E MILLBROOK RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095360",
            "telephone_number": "804-748-9071",
            "fax_number": "910-346-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Eustis",
            "state": "VA",
            "postal_code": "236041373",
            "country_code": "US",
            "telephone_number": "757-314-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASHDAN",
        "first_name": "DANIEL",
        "middle_name": "NATHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177515",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.