DANIELLE RAE KOMAN (NPI# 1114289238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114289238 |
| Entity Type | Individual |
| Full Name | DANIELLE RAE KOMAN |
| Other Name | DANIELLE RAE COOPER |
| Credential | DNP |
| Practice Address |
777 Casino Dr Cherokee NC 28719-9761 |
| Practice Telephone | 8284978642 |
| Practice Fax Number | 8284978832 |
| Mailing Telephone | 8284978642 |
| Mailing Fax Number | 8284978832 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5005657 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5005657 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DEA | MK2654970 | 01 |
| NC | RN | 255194 | 01 |
| NC | NURSE PRACTITIONER | 5005657 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 571 S Allen Rd, Flat Rock, NC 28731 | 8286926178 | 8286922365 |
| Street Address |
777 CASINO DR |
| City | CHEROKEE |
| State | NC |
| Zip Code | 28719-9761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852196 | Deborah Kellide Conseen-bradley | Nurse Practitioner | 777 Casino Dr, Cherokee, NC 28719-9761 | 2006-10-06 |
| 1417436510 | Healthstat Onsite Clinic Harrah's | Preventive Medicine | 777 Casino Dr, Cherokee, NC 28719-9761 | 2018-08-09 |
| 1114275658 | Teresa Jean Breedlove | Dietitian, Registered | 777 Casino Dr, Cherokee, NC 28719-9761 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457617 | Cherokee Indian Hospital Authority | Psychiatric Unit | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1033728183 | Shannon S. Casey | Registered Nurse | 448 Sequoyah Trl, Cherokee, NC 28719 | 2020-07-24 |
| 1629698303 | Family Safety Program | Foster Care Agency | 117 John Crowe Hill Rd, Cherokee, NC 28719 | 2020-04-22 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1730669078 | Olivia M Reed | Social Worker | 188 Cherokee Hospital Loop # C268, Cherokee, NC 28719 | 2018-08-16 |
| 1013468156 | Jonathan Mitzel | Specialist/Technologist | 200 Ravensford Drive, Cherokee, NC 28719 | 2016-10-24 |
| 1114393709 | Izabela Halina Lubinska-welch | Registered Nurse | 188 Cherokee Hospital Loop, Cherokee, NC 28719 | 2015-08-18 |
| 1801284542 | Cherokee Indian Hospital Authority | Psychologist | 77 Paint Town Rd, Cherokee, NC 28719 | 2015-01-05 |
| 1942608120 | Ciha Juvenile Services | Clinic/Center | 85 Childrens Home Loop, Cherokee, NC 28719 | 2014-12-19 |
| 1104171081 | Christopher Mcknight | Student in an Organized Health Care Education/Training Program | 188 Hospital Rd, Cherokee, NC 28719 | 2012-07-17 |
| Find all providers in zip 28719 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730368135 | Marisa Sneed Cabe | Nurse Practitioner | 73 Kaiser Wilnoty Rd, Cherokee, NC 28719 | 2007-11-01 |
| 1598852196 | Deborah Kellide Conseen-bradley | Nurse Practitioner | 777 Casino Dr, Cherokee, NC 28719-9761 | 2006-10-06 |
| 1457391500 | Carol J Davis | Nurse Practitioner | 1080 2nd St, Cherokee, AL 35616-7328 | 2006-06-07 |
| 1841841228 | Mary Katherine Postell Jones | Nurse Practitioner | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719 | 2019-09-26 |
| 1699250704 | Valerie Angela Van Zandbergen | Nurse Practitioner | 212 E Bow Dr, Cherokee, IA 51012-1215 | 2018-09-25 |
| 1548650955 | Kristine Kay Vanbeek | Nurse Practitioner | 212 E Bow Dr, Cherokee, IA 51012-1215 | 2015-01-23 |
| 1447668371 | Julie Lynn Dolphin | Nurse Practitioner | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 | 2014-07-23 |
| 1881017994 | Tobi Bratten | Nurse Practitioner | 405 S Oklahoma Ave, Cherokee, OK 73728-2545 | 2014-01-24 |
| 1730521584 | Abby J Tentinger | Nurse Practitioner | 300 Sioux Valley Dr, True Medical Bldg, Cherokee, IA 51012-1205 | 2013-07-22 |
| 1083951958 | Elizabeth Coleman Mcdonald | Nurse Practitioner | 1 Hospital Rd, Caller Box C-268, Cherokee, NC 28719-9253 | 2013-01-11 |
| Find all providers in CHEROKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.