Active NPI
Nathia Davis, APRN
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209027961
- Practice address
- 6307 S Stewart Ave
Chicago, IL 60621-3116 - Phone
- (773) 420-1531
- NPI assigned
- Jun 8, 2023
- Last updated
- May 29, 2024
- 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 |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04144638 | IL | MD | Registered Nurse |
| 209027961 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Physicians Care LLC | Current | Accepting new patients | |
| Foundation for Outreach Services | Current | Accepting new patients | |
| Shefah Healthcare SC | Current | Accepting new patients | |
| Uziel Shefa Medical SC | Current | Accepting new patients | |
| Applebaum Physiatry PLLC | Family | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
Family, IN
-
- General Practice Physician
- Skokie, IL
- NPI 1518716919
-
- Family Medicine Physician
- Chicago, IL
- NPI 1316350242
-
- Adult Medicine Physician
- Bloomingdale, IL
- NPI 1154966018
-
- General Practice Physician
- Skokie, IL
- NPI 1386422236
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chicago, IL
- NPI 1730481268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.