Individual provider Active NPI

Lindsay R Davis, FNP-C

  • Family Nurse Practitioner
  • Washington, NC
National Provider Identifier
1104525625
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017729 Issued in NC
Practice address
120 W Martin Luther King Jr Dr
Washington, NC 27889-4906
Phone
(252) 940-0602
Fax
(252) 940-0605
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 5017729 NC Primary

Addresses

Primary practice location

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906

Mailing address

1120 Red Maple LN
Jamesville, NC 27846-8700
Phone (252) 943-5898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230504002185 NC Practitioner - Nurse Practitioner 2365807872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Community Health Services Inc 22 clinicians

Practice addresses (Care Compare)

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906
Phone (252) 940-0602

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Washington, NC, CCN 347329
  • Washington County Hosp Inc Hospital, Plymouth, NC, CCN 341314
  • Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017729NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Community Health Services, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Metropolitan Community Health Services, Inc Current Accepting new patients
Metropolitan Community Health Services, Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

120 W Martin Luther King Jr Dr
Washington, NC 27889
Phone (252) 644-7003

120 W Martin Luther King Jr Dr
#J
Washington, NC 27889
Phone (252) 940-0602

1130 Godwin Dr
Williamston, NC 27892
Phone (252) 789-0401

Interoperability endpoints

  • Direct secure messaging: ldavis628330@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1104525625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RED MAPLE LN",
            "city": "JAMESVILLE",
            "state": "NC",
            "postal_code": "278468700",
            "telephone_number": "252-943-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MARTIN LUTHER KING JR DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894906",
            "telephone_number": "252-940-0602",
            "fax_number": "252-940-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.