Active NPI
Jennifer L Davis, ARNP-C
- Adult Health Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP3090432
- Practice address
- 3464 Avalon Park East Blvd
Orlando, FL 32828-7363 - Phone
- (407) 302-3115
- Fax
- (321) 203-4602
- NPI assigned
- Mar 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP3090432 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP3090432 | FL | Primary |
Addresses
Primary practice location
3464 Avalon Park East Blvd
Orlando, FL 32828-7363
Mailing address
3464 Avalon Park East Blvd
Orlando, FL 32828-7363
Phone (407) 302-3115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Past | Accepting new patients |
Locations
725 Rodel Cv
Lake Mary, FL 32746
Phone (407) 302-3130
719 Rodel Cv
Ste 2001
Lake Mary, FL 32746
Phone (407) 302-3106
3464 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 635-3020
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
Interoperability endpoints
- jdavis27929@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1124144993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 AVALON PARK EAST BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287363",
"telephone_number": "407-302-3115",
"fax_number": "321-203-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3464 AVALON PARK EAST BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287363",
"telephone_number": "407-302-3115",
"fax_number": "321-203-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP3090432",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP3090432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.