Individual provider Active NPI

Danielle Nichole Davis, FNP-BC

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1073881959
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16311 Issued in TN
Practice address
2024 E Andrew Johnson Hwy
Morristown, TN 37814-5410
Phone
(423) 616-0880
Fax
(423) 616-0881
NPI assigned
Dec 7, 2011
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16311 TN Primary

Addresses

Primary practice location

2024 E Andrew Johnson Hwy
Morristown, TN 37814-5410

Mailing address

PO Box 1061
Morristown, TN 37816-1061
Phone (423) 616-0880

Other practice location 1

830 W 4th North St
Morristown, TN 37814-3813
Phone (423) 863-6498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151005001435 TN Practitioner - Nurse Practitioner 5698083061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2024 E Andrew Johnson Hwy
Morristown, TN 37814-5410
Phone (423) 616-0880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16311TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Family Medicine Family CurrentSince Oct 24, 2019 Accepting new patients

Locations

2024 E Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-7772

3773 E Andrew Johnson Hwy
Ste 1
Morristown, TN 37814
Phone (423) 616-0880

830 W 4th North St
Morristown, TN 37814
Phone (423) 586-1450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22509/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1073881959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1061",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378161061",
            "telephone_number": "423-616-0880",
            "fax_number": "423-616-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145410",
            "telephone_number": "423-616-0880",
            "fax_number": "423-616-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W 4th North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143813",
            "country_code": "US",
            "telephone_number": "423-863-6498",
            "fax_number": "865-229-9687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIELLE",
        "middle_name": "NICHOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.