Individual provider Active NPI

Allison Fain Davis, APRN

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1144579806
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
810238 Issued in NV
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP3469MedicaidSC
810238OtherNVSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NV2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121005000339 SC Practitioner - Nurse Practitioner 0345499372 Reassigns benefits to 1 organization
I20180820001149 NV Practitioner - Nurse Practitioner 0345499372 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
810238NVMDAdult Health Nurse Practitioner
APN.18008 RXSCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 6, 2016 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jul 11, 2022 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 6, 2016 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Jul 18, 2018 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jul 11, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Jun 10, 2019 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 10, 2019 Accepting new patients
Qol Care LLC PastSince May 29, 2022 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.

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

Verify at the official NPI Registry.