Individual provider Active NPI

Anna C. Davies, APN

  • Adult Health Clinical Nurse Specialist
  • Tinley Park, IL
National Provider Identifier
1154724912
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
209.008938 Issued in IL
Practice address
6220 177TH St
Tinley Park, IL 60477-4318
Phone
(708) 277-7118
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 209008938 IL
Adult Health Clinical Nurse Specialist 364SA2200X 209.008938 IL Primary

Addresses

Primary practice location

6220 177TH St
Tinley Park, IL 60477-4318

Mailing address

6220 177TH St
Tinley Park, IL 60477-4318
Phone (708) 277-7118

Other practice location 1

3700 W 203rd St
Suite 200
Olympia Fields, IL 60461-1180
Phone (708) 679-2023

Other practice location 2

3700 W 203rd St
Suite 200
Olympia Fields, IL 60461-1180
Phone (708) 679-2023

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adavies185241@Direct.FranciscanAlliance.org Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
209008938ILMDAdult Health Nurse Practitioner
209.008938ILMDAdult Health Clinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: adavies185241@direct.franciscanalliance.org

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1154724912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 177TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774318",
            "telephone_number": "708-277-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 177TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774318",
            "telephone_number": "708-277-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W 203rd St",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611180",
            "country_code": "US",
            "telephone_number": "708-679-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 W 203rd St",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611180",
            "country_code": "US",
            "telephone_number": "708-679-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ANNA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209008938",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.008938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adavies185241@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 203rd St",
            "address_2": "SUITE 200",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.