NPIMap

Individual provider Active NPI

Anne Marie Davis, ARNP

  • Family Nurse Practitioner
  • Liberty, KY
National Provider Identifier
1083799589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3570P Issued in KY
Practice address
511 Middleburg St
Liberty, KY 42539
Phone
(859) 239-2379
Fax
(859) 239-6898
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3570P KY Primary

Addresses

Primary practice location

511 Middleburg St
Liberty, KY 42539

Mailing address

PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2379

Other identifiers 1

IdentifierTypeStateIssuer
78007705MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220001078 KY Practitioner - Nurse Practitioner 6800781477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Emhfl IncGroup PAC ID 7416842364, shared by 8 NPIs, 12 clinicians

Practice addresses (Care Compare)

110 Metker TRL
Stanford, KY 40484-1020
Phone (606) 365-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3570PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Aug 12, 2002 Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Aug 12, 2002 Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
Ephraim McDowell Health Resource, Inc Past Accepting new patients
Dix River Family Medicine & Womens Healthcare Center PSC Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

189 Farra Dr
Lancaster, KY 40444
Phone (859) 792-2129

511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388

102 W Depot St
Springfield, KY 40069
Phone (606) 336-7343

280 Lincoln Dr
Springfield, KY 40069
Phone (859) 336-9801

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083799589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230990",
            "telephone_number": "859-239-2379",
            "fax_number": "859-239-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MIDDLEBURG ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "42539",
            "telephone_number": "859-239-2379",
            "fax_number": "859-239-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3570P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78007705",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.