Individual provider Active NPI

Misty Davis, PCA

  • Home Health Aide
  • Omaha, NE
National Provider Identifier
1134927163
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6025 Sorensen Pkwy
Omaha, NE 68152-2238
Phone
(402) 513-0999
Fax
(402) 513-0999
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

6025 Sorensen Pkwy
Omaha, NE 68152-2238

Mailing address

6025 Sorensen Pkwy
Omaha, NE 68152-2238
Phone (402) 513-0999

Other practice location 1

7802 Howard st
Omaha, NE 68114-5419
Phone (402) 689-7333

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Home Care LLC PastSince Mar 11, 2025 Accepting new patients
Quality Choice LLC In Home Supportive Care PastSince Jun 3, 2025 Accepting new patients
Prime Home Care LLC PastSince Mar 11, 2025 Accepting new patients
Sanctuary Solutions Home Health Aide PastSince Jun 3, 2025 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1134927163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522238",
            "telephone_number": "402-513-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522238",
            "telephone_number": "402-513-0999",
            "fax_number": "402-513-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7802 Howard st",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681145419",
            "country_code": "US",
            "telephone_number": "402-689-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MISTY",
        "credential": "PCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.