Individual provider Active NPI

Alecia Althia Davis, FNP

  • Family Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1073955571
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338085-1 Issued in NY
Practice address
526 Altamont Ave
Schenectady, NY 12303-1039
Phone
(518) 346-6121
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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 F338085-1 NY Primary

Addresses

Primary practice location

526 Altamont Ave
Schenectady, NY 12303-1039

Mailing address

526 Altamont Ave
Schenectady, NY 12303-1039
Phone (518) 346-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140131000249 NY Practitioner - Nurse Practitioner 4981833506 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F338085-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Nov 17, 2018 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2021 Accepting new patients
Ellis Hospital PastSince Jan 28, 2024 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1101 Nott St
#B5
Schenectady, NY 12308
Phone (518) 243-4135

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1073955571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031039",
            "telephone_number": "518-346-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031039",
            "telephone_number": "518-346-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALECIA",
        "middle_name": "ALTHIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338085-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.