Individual provider Active NPI

Aniela B Davis, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1124173406
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
620 Issued in AK
Practice address
4241 B St
Suite 301
Anchorage, AK 99503-5910
Phone
(907) 351-1092
Fax
(907) 278-5944
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

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: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12502AKMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 12502 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 620 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

4241 B St
Suite 301
Anchorage, AK 99503-5910

Mailing address

PO Box 143255
Anchorage, AK 99514-3255
Phone (907) 332-3231

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
620OtherAKAK STATE ANP LICENSE #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124173406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143255",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995143255",
            "telephone_number": "907-332-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 B ST",
            "address_2": "SUITE 301",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035910",
            "telephone_number": "907-351-1092",
            "fax_number": "907-278-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANIELA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AK",
            "license": "12502",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK STATE ANP LICENSE #",
            "identifier": "620",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.