Individual provider Active NPI

Ann-Marie Davidson, APRN

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1104300185
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9184976 Issued in FL
Practice address
13141 Spring Hill Dr
Spring Hill, FL 34609-5016
Phone
(352) 515-0025
Fax
(813) 406-4691
NPI assigned
Sep 17, 2018
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9184976 FL
Family Nurse Practitioner 363LF0000X APRN9184976 FL Primary

Addresses

Primary practice location

13141 Spring Hill Dr
Spring Hill, FL 34609-5016

Mailing address

PO Box 20494
Tampa, FL 33622-0494
Phone (352) 515-0025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181203002606 FL Practitioner - Nurse Practitioner 0941544993 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
Group practices
Elite Pain Specialists PAGroup PAC ID 9739413774, 3 clinicians

Practice addresses (Care Compare)

13141 Spring Hill Dr
Spring Hill, FL 34609-5016
Phone (352) 515-0025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9184976FLMDFamily Nurse Practitioner
APRN9184976FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Pain Specialists PA CurrentSince Mar 15, 2020 Accepting new patients
Elite Pain Specialists PA CurrentSince Mar 15, 2020 Accepting new patients

Locations

17807 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (813) 388-9922

13141 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 515-0025

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1104300185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20494",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336220494",
            "telephone_number": "352-515-0025",
            "fax_number": "352-515-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095016",
            "telephone_number": "352-515-0025",
            "fax_number": "813-406-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ANN-MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9184976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9184976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.