Elizabeth Trudy Davis, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209778 Issued in OK

Practice address

701 W Broadway St
Spiro, OK 74959-2456

Phone

(918) 962-8009

Fax

(918) 962-8027

NPI assigned

Aug 16, 2022

Last updated

Sep 7, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welcome Back Home Care, Inc. Home health agency, Pocola, OK, CCN 377770
• Heritage Home Care, Inc Home health agency, Eufaula, OK, CCN 377872
• Compassion Home Care, Inc. Home health agency, Stigler, OK, CCN 377740
• Holistic Home Care Home Health, LLC Home health agency, Keota, OK, CCN 377788
• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Main Street Family Medical, LLC

  • Primary Care Clinic/Center
  • Spiro, OK
  • NPI 1952025249
  Medicare reassignment NPD Authorized official
• Brazil Family Medical Clinic

  • Health Service Clinic/Center
  • Spiro, OK
  • NPI 1205635570
  NPD Authorized official
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Compassion Home Care, Inc.

  • Home Health Agency
  • Stigler, OK
  • NPI 1891920211
  Care Compare affiliation
• Heritage Home Care Inc

  • Home Health Agency
  • Eufaula, OK
  • NPI 1265132633
  Care Compare affiliation
• Holistic Home Care Home Health LLC

  • Home Health Agency
  • Keota, OK
  • NPI 1144614975
  Care Compare affiliation
• Leflore County Hospital Authority

  dba Mountain Gateway Senior Health

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation
• Welcome Back Home Care, Inc.

  • Home Health Agency
  • Pocola, OK
  • NPI 1063393809
  Care Compare affiliation

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1033837000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BROADWAY ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749592456",
            "telephone_number": "918-962-8009",
            "fax_number": "918-962-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BROADWAY ST",
            "city": "SPIRO",
            "state": "OK",
            "postal_code": "749592456",
            "telephone_number": "918-962-8009",
            "fax_number": "918-962-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELIZABETH",
        "middle_name": "TRUDY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "209778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean David Bunge
• Cheree D Clark
• Dayna Marie Cochran
• Orion McClain Cochran
• Amanda Collins, R.N.
• Dedmon Pharmacy Inc
• Dedmon Pharmacy Inc (Sullins Drugs)
• Bradley Wayne Dedmon, P.D.
• Nancy R. Duncan-Larry, PA
• Olie Melane Duncan, PTA

• Family Nurse Practitioner in Spiro, OK
• Providers in Spiro, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.