Individual provider Active NPI

Paige Lauren Davis, DNP

  • Acute Care Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1013447846
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A005176 Issued in AR
Practice address
2708 S Rife Medical LN Ste 300
Rogers, AR 72758-1457
Phone
(479) 338-3030
Fax
(479) 338-3079
NPI assigned
Jun 14, 2017
Last updated
Jul 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A005176 AR Primary

Addresses

Primary practice location

2708 S Rife Medical LN Ste 300
Rogers, AR 72758-1457

Mailing address

2708 S Rife Medical LN Ste 300
Rogers, AR 72758-1457
Phone (479) 338-3030

Other practice location 1

13085 Kenneth Price Rd
Elm Springs, AR 72762-4215
Phone (479) 549-5142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170727003083 AR Practitioner - Nurse Practitioner 7214207935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 3, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 3, 2023 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste 300
Rogers, AR 72758
Phone (479) 338-3030

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1013447846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581457",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581457",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13085 Kenneth Price Rd",
            "address_purpose": "LOCATION",
            "city": "Elm Springs",
            "state": "AR",
            "postal_code": "727624215",
            "country_code": "US",
            "telephone_number": "479-549-5142",
            "fax_number": "484-209-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PAIGE",
        "middle_name": "LAUREN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A005176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.