Alexa Nicole Davis

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

59245 Issued in KY

Practice address

13111 Eastpoint Park Blvd
Louisville, KY 40223-4164

Phone

(502) 216-2164

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexa N Black Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1104481050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 EASTPOINT PARK BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234164",
            "telephone_number": "502-216-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EASTPOINT PARK BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234164",
            "telephone_number": "502-216-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEXA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "59245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "BLACK",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammy Elizabeth Davie
• John Tyson Davies
• Margaret Davies, NP
• Davis Dental Center, PSC
• Leshaia Jamari Davis-Johnson
• Alisha Davis
• Amanda Carter Davis, RN, CRNA
• Amber Skye Davis, MS, BCBA, LBA
• Amy Davis, M.S. CCC-SLP
• Amy F Davis, PA

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.

Verify at the official NPI Registry.