Individual provider Active NPI

Holly D Davis, APRN

  • Gerontology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1073006045
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
LP-0010745 Issued in DE
Practice address
15333 N Pima Rd Ste 312
Scottsdale, AZ 85260-2783
Phone
(888) 731-8994
NPI assigned
Jun 13, 2018
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X LP-0010745 DE Primary

Addresses

Primary practice location

15333 N Pima Rd Ste 312
Scottsdale, AZ 85260-2783

Mailing address

15333 N Pima Rd Ste 312
Scottsdale, AZ 85260-2783
Phone (888) 731-8994

Other practice location 1

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994

Other practice location 2

450 Alaskan Way S Ste 200
Seattle, WA 98104-2785
Phone (888) 731-8994

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly.davis.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, DE, MI, MO, CT, NJ, ND, OH, FL, TN, OK, PA13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20181005001262 WA Practitioner - Nurse Practitioner 6709138514
I20201229002986 OR Practitioner - Nurse Practitioner 6709138514
I20240410000646 DE Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20240830003064 MI Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20240830003394 MO Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 2 organizations
I20240911000151 CT Practitioner - Nurse Practitioner 6709138514
I20241218001534 NJ Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20250114003043 ND Practitioner - Nurse Practitioner 6709138514
I20250123002375 OH Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20250128003817 FL Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20250130001520 TN Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20250131003632 OK Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization
I20250225000175 PA Practitioner - Nurse Practitioner 6709138514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone (602) 610-6866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az PC Current Accepting new patients
Harmonic Medical Group of Delaware, P.a. Gerontology CurrentSince Apr 1, 2024 Accepting new patients
Centerwell Senior Primary Care Az PC CurrentSince Apr 14, 2025 Accepting new patients
Harmonic Medical Group of Michigan, P.C Gerontology CurrentSince Aug 22, 2024 Accepting new patients
Centerwell Senior Primary Care Az PC CurrentSince Apr 14, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Past Accepting new patients

Locations

6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515

14813 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 834-5435

108 Lakeland Ave
Dover, DE 19901
Phone (267) 566-0318

5311 Limestone Rd
Wilmington, DE 19808
Phone (302) 235-4661

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

186 N Main St
Fl 2
Plymouth, MI 48170
Phone (248) 602-3303

119 S Main St
Saint Charles, MO 63301
Phone (314) 322-3875

1213 Np Ave N
Ste 301
Fargo, ND 58102

698 12th St SE
Salem, OR 97301

1780 Barnes Blvd SW
Tumwater, WA 98512
Phone (212) 993-7809

Organizations & group practices 8

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1073006045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 312",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602783",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 312",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602783",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Alaskan Way S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042785",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HOLLY",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LP-0010745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly.davis.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "14813 N Del Webb Blvd",
            "city": "Sun City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853512145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.