Channen Marie Dankle, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5015352 Issued in NC

Practice address

3821 Forrestgate Dr
Winston Salem, NC 27103-2930

Phone

(336) 448-9100

NPI assigned

Nov 1, 2021

Last updated

Dec 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Channen Marie Conway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Carolinas Fertility Institute

  • Reproductive Endocrinology Physician
  • Charlotte, NC
  • NPI 1457986937
  NPD (past)
• Carolinas Fertility Institute, P.a.

  • Reproductive Endocrinology Physician
  • Winston Salem, NC
  • NPI 1265848808
  NPD (past)

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1952066342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 THATCHER XING",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297107877",
            "telephone_number": "410-382-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 FORRESTGATE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032930",
            "telephone_number": "336-448-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANKLE",
        "first_name": "CHANNEN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "DANK-KW1CG",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANNEN",
            "last_name": "CONWAY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Leigh Daniels, NP
• Lynne Baheyeah Daniels, PA-C
• Samantha Daniels
• Gillian Marie Danielson
• Olivia Danilko
• Karen June Dankof, MS., CCC-SLP
• Thomas Edward Dannals, MD
• Cynthia B Danner, LCSW
• Jennifer Nichole Darago, PHARMD
• Hima Bindu Darapu, M.D.

• Family Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.