Active NPI
Allison Fain Davis, APRN
- Adult Health Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 810238
- Practice address
- 6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133 - Phone
- (702) 479-4881
- Fax
- (702) 966-8662
- NPI assigned
- Sep 10, 2012
- Last updated
- Oct 28, 2022
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN.18008 RX | SC | |
| Adult Health Nurse Practitioner | 363LA2200X | 810238 | NV | Primary |
Addresses
Primary practice location
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
1101 Old Trolley Rd
Suite 300
Summerville, SC 29485-5293
Phone (843) 376-2670
Other practice location 2
1101 Old Trolley Rd
Suite 300
Summerville, SC 29485
Phone (843) 376-2670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3469 | Medicaid | SC | |
| 810238 | Other | NV | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 810238 | NV | MD | Adult Health Nurse Practitioner |
| APN.18008 RX | SC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Qol Care LLC | Past | Accepting new patients | |
| Healthcare Partners Medical Group (Coats) LTD. | Past | Accepting new patients |
Locations
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6355 S Buffalo Dr
Las Vegas, NV 89113
Phone (702) 952-9171
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
7 S Alliance Dr
Ste 202A
Goose Creek, SC 29445
Phone (843) 376-6070
1101 Old Trolley Rd
Ste 300
Summerville, SC 29485
Phone (843) 376-2670
809 N Cedar St
Summerville, SC 29483
Phone (843) 871-9440
Organizations & group practices 10
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.
-
dba Intermountain Health
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
-
dba Southwest Medical
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
dba PPCP Canterbury House
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
dba Intermountain Health Home Care
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
-
dba Optumcare Anesthesia
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
dba Palmetto - Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Summerville, SC
- NPI 1023448487
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1902883341
-
- Home Health Agency
- North Charleston, SC
- NPI 1184362568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1144579806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-479-4881",
"fax_number": "702-966-8662"
}
],
"practiceLocations": [
{
"address_1": "1101 Old Trolley Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294855293",
"country_code": "US",
"telephone_number": "843-376-2670",
"fax_number": "843-376-2790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Old Trolley Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "29485",
"country_code": "US",
"telephone_number": "843-376-2670",
"fax_number": "843-376-2790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ALLISON",
"middle_name": "FAIN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "APN.18008 RX",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NV",
"license": "810238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3469",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "810238",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.