Individual provider Active NPI

Nathia Davis, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1174217400
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027961 Issued in IL
Practice address
6307 S Stewart Ave
Chicago, IL 60621-3116
Phone
(773) 420-1531
NPI assigned
Jun 8, 2023
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209027961 IL Primary
Registered Nurse 163W00000X 04144638 IL

Addresses

Primary practice location

6307 S Stewart Ave
Chicago, IL 60621-3116

Mailing address

6535 Nebraska Ave
Hammond, IN 46323-1850
Phone (773) 648-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20240528001985 IL Practitioner - Nurse Practitioner 0143662783 Reassigns benefits to 4 organizations
I20260518003759 IN Practitioner - Nurse Practitioner 0143662783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
Uziel Shefa Medical SCGroup PAC ID 4082158118, 7 clinicians

Practice addresses (Care Compare)

1401 N California Ave
Chicago, IL 60622-1602
Phone (773) 782-8700

5025 McCook Ave
East Chicago, IN 46312-3759
Phone (219) 397-0380

5454 Fargo Ave
Suite 107
Skokie, IL 60077-3210
Phone (310) 933-5688

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04144638ILMDRegistered Nurse
209027961ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians Care LLC CurrentSince Apr 2, 2024 Accepting new patients
Foundation for Outreach Services CurrentSince Apr 19, 2024 Accepting new patients
Shefah Healthcare SC CurrentSince Aug 2, 2025 Accepting new patients
Uziel Shefa Medical SC CurrentSince Aug 2, 2025 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Jan 28, 2026 Accepting new patients

Locations

1 Tiffany Pt
Ste 106
Bloomingdale, IL 60108
Phone (224) 653-9507

1401 N California Ave
Chicago, IL 60622
Phone (773) 384-7320

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

6307 S Stewart Ave
Chicago, IL 60621
Phone (773) 776-8800

5454 Fargo Ave
Ste 107
Skokie, IL 60077

345 Dixie Hwy
South Chicago Heights, IL 60411
Phone (708) 754-7601

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1174217400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 NEBRASKA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231850",
            "telephone_number": "773-648-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-420-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATHIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027961",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "04144638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.