Individual provider Active NPI

Annette T.R. Davis, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1174637680
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
55987 Issued in CO
Practice address
777 Bannock St
MC 0188
Denver, CO 80204-4507
Phone
(303) 043-6600
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 55987 CO Primary

Addresses

Primary practice location

777 Bannock St
MC 0188
Denver, CO 80204-4507

Mailing address

777 Bannock St
MC 0188
Denver, CO 80204-4507
Phone (303) 043-6600

Other names 1

  • Mrs. Annette Rossi-Davis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, OR, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20250320002244 NY Practitioner - Nurse Practitioner 5890074967 Reassigns benefits to 1 organization
I20250418001976 CA Practitioner - Nurse Practitioner 5890074967 Reassigns benefits to 1 organization
I20250711003119 OR Practitioner - Nurse Practitioner 5890074967 Reassigns benefits to 1 organization
I20250721002922 GA Practitioner - Nurse Practitioner 5890074967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ognomy Ga LLCGroup PAC ID 1254730534, 4 clinicians
Daniel I Rifkin MD PCGroup PAC ID 1658317607, 13 clinicians

Practice addresses (Care Compare)

Hillsboro, OR 97124
Phone (877) 664-6669

1120 Youngs Rd
Suite 200
Williamsville, NY 14221-2695
Phone (716) 923-7326

3750 Palladian Village Dr
Suite 110
Marietta, GA 30066-8202
Phone (877) 664-6669

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55987COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ognomy Sleep Associates Ca CurrentSince Feb 9, 2025 Accepting new patients
Ognomy Ga LLC CurrentSince Apr 28, 2025 Accepting new patients
Daniel I Rifkin, MD, PC CurrentSince Feb 12, 2025 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

3750 Palladian Village Dr
Ste 110
Marietta, GA 30066
Phone (678) 265-8361

640 Ellicott St
Ste 101
Buffalo, NY 14203

1120 Youngs Rd
Ste 200
Williamsville, NY 14221

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

Interoperability endpoints

  • Direct secure messaging: danielirifkinmdpc.annettedavis@158847.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1174637680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MC 0188",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-043-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MC 0188",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-043-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNETTE",
        "middle_name": "T.R.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "55987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "ROSSI-DAVIS",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.