Heather Bryan Davis, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-122351 Issued in AL

Practice address

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1302

Phone

(205) 533-8902

Fax

(855) 737-5542

NPI assigned

Feb 26, 2013

Last updated

Oct 18, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  AL, Nurse Practitioner

  Medicare reassignment NPD
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1114267218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "615-454-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SOUTHBRIDGE PKWY STE 650",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091302",
            "telephone_number": "205-533-8902",
            "fax_number": "855-737-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "BRYAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-122351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griena Hermaine Knight Davis, ED.D., LPC
• Haleigh Davis
• Hank Devan Davis
• Hannah Elizabeth Davis
• Hannah Jo Davis, CRNP
• Heather Renae Davis, LPC, RPT
• Ian Davis
• James Davis
• James A Davis III, MD
• James Grady Davis, M.D.

• Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.