Individual provider Active NPI

Vivian I. Davies, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1114747128
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN56007 Issued in WV
Practice address
1731 Harper Rd
Beckley, WV 25801-3311
Phone
(304) 255-1541
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN56007 WV Primary

Addresses

Primary practice location

1731 Harper Rd
Beckley, WV 25801-3311

Mailing address

3044 Mountain View Pkwy
Alderson, WV 24910-9798
Phone (304) 667-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

252 Rural Acres Dr
Beckley, WV 25801-3503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN56007WVMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: vivian.davies.1@14333.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1114747128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 MOUNTAIN VIEW PKWY",
            "city": "ALDERSON",
            "state": "WV",
            "postal_code": "249109798",
            "telephone_number": "304-667-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013311",
            "telephone_number": "304-255-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "VIVIAN",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "APRN56007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.