Active NPI
Janel Sophia Davis, AGNP-C
- Nurse Practitioner
- Prichard, AL
National Provider Identifier
1033747233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 843445627
- Practice address
- 4525 Saint Stephens Rd
Prichard, AL 36613-3508 - Phone
- (251) 452-0996
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 843445627 | AL | Primary |
Addresses
Primary practice location
4525 Saint Stephens Rd
Prichard, AL 36613-3508
Mailing address
109 Oakview Dr
Saraland, AL 36571-2606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- janel.davis.1@20882.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1033747233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 OAKVIEW DR",
"city": "SARALAND",
"state": "AL",
"postal_code": "365712606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 SAINT STEPHENS RD",
"city": "PRICHARD",
"state": "AL",
"postal_code": "366133508",
"telephone_number": "251-452-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JANEL",
"middle_name": "SOPHIA",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "843445627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prichard, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.