Individual provider Active NPI

Chris Davies Nevin, FNP-C

  • Nurse Practitioner
  • Nanuet, NY
National Provider Identifier
1093940629
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
333165 Issued in NY
Practice address
55 Oid Nyack Turnpike
Suite 401
Nanuet, NY 10954
Phone
(845) 624-3882
Fax
(845) 624-3992
NPI assigned
May 27, 2009
Last updated
May 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 333165 NY Primary

Addresses

Primary practice location

55 Oid Nyack Turnpike
Suite 401
Nanuet, NY 10954

Mailing address

55 Oid Nyack Turnpike
Suite 401
Nanuet, NY 10954
Phone (845) 624-3882

Other names 1

  • Mrs. Chris Davies Fantry Former name

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
I20100610001026 NY Practitioner - Nurse Practitioner 5395875785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Partner in Primary Care PLLC PastSince Mar 22, 2010 Accepting new patients

Organizations & group practices 2

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1093940629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 OID NYACK TURNPIKE",
            "address_2": "SUITE 401",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-624-3882",
            "fax_number": "845-624-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OID NYACK TURNPIKE",
            "address_2": "SUITE 401",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-624-3882",
            "fax_number": "845-624-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVIN",
        "first_name": "CHRIS",
        "middle_name": "DAVIES",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "333165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "FANTRY",
            "middle_name": "DAVIES",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.