Active NPI
Celeste Ann Davis, FNP-C
- Family Nurse Practitioner
- Fort Harrison, MT
National Provider Identifier
1104356765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NUR-APRN-LIC-126197
- Practice address
- 3687 Veterans Dr
Fort Harrison, MT 59636-9700 - Phone
- (406) 442-6410
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-126197 | MT | Primary |
Addresses
Primary practice location
3687 Veterans Dr
Fort Harrison, MT 59636-9700
Mailing address
3148 Freeze Out LN
Deer Lodge, MT 59722-9590
Phone (406) 560-4761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220124002986 | MT | Order and Referring Only - Nurse Practitioner | 9335531375 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-126197 | MT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1104356765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 FREEZE OUT LN",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597229590",
"telephone_number": "406-560-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 VETERANS DR",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "596369700",
"telephone_number": "406-442-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CELESTE",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-126197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.