Heather Renee Davis, DNP, APRN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9295668 Issued in FL

Practice address

5575 County Road 352
Keystone Heights, FL 32656-7741

Phone

(352) 224-5220

NPI assigned

Oct 23, 2017

Last updated

Jul 24, 2026By 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

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rural Health Care Incorporated

  dba Aza Health

  • Federally Qualified Health Center (FQHC)
  • Palatka, FL
  • NPI 1871569061
  Medicare reassignment NPD
• Rural Health Care, Inc.

  dba Aza Health

  • Federally Qualified Health Center (FQHC)
  • Daytona Beach, FL
  • NPI 1891227179
  NPD

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1023529500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 COUNTY ROAD 352",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326567741",
            "telephone_number": "352-224-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 COUNTY ROAD 352",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326567741",
            "telephone_number": "352-224-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9295668",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP9295668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Colaw
• Angelica Bennett Cooksey, APRN
• Kaylie Couch
• Jessica Marie Cummings-Nigh, APRN
• Robert Edward Daley, RPH
• Laura Guilford Dean, RPH
• Latoya Diaz
• Donna Henderson Acupuncture, Inc
• Embrace Community Center Inc
• Marguerite Cecilia Epstein, L.M

• Psychiatric/Mental Health Nurse Practitioner in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.