Olivia K Davis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005450 Issued in AR

Practice address

1127 Main St
Vilonia, AR 72173-9525

Phone

(501) 796-6740

Fax

(501) 796-6744

NPI assigned

Jan 9, 2018

Last updated

Jan 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stone County Medical Center Hospital, Mountain View, AR, CCN 041310

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: olivia.davis.1@13831.direct.athenahealth.com
• Direct secure messaging: olivia.davis.p1@direct.araoc.nextgenshare.com

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.

• Arkansas Health Group

  dba Internal Medicine Associates of North Little Rock

  • Internal Medicine Physician
  • Maumelle, AR
  • NPI 1932118890
  Medicare reassignment NPD
• Arkansas Otolaryngology Center, P.a.

  • Otolaryngology Physician
  • Little Rock, AR
  • NPI 1164449500
  Medicare reassignment NPD
• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731
  Medicare reassignment NPD
• White River Health System, Inc.

  dba White River Health Family Care

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1104275486
  Medicare reassignment NPD
• White River Health System, Inc.

  dba Newark Medical Clinic

  • Rural Health Clinic/Center
  • Newark, AR
  • NPI 1467519249
  Medicare reassignment NPD
• White River Health System, Inc.

  dba Strawberry Medical Clinic

  • Rural Health Clinic/Center
  • Strawberry, AR
  • NPI 1578543070
  Medicare reassignment NPD
• White River Health System, Inc.

  dba White River Health Family Care

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1962878207
  Medicare reassignment NPD
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461

  AR

  Medicare reassignment NPD
• White River Health System Inc

  dba Cave City Medical Clinic

  • Rural Health Clinic/Center
  • Cave City, AR
  • NPI 1568442127
  Medicare reassignment
• White River Health System, Inc.

  dba White River Health Family Care

  • Rural Health Clinic/Center
  • Mountain View, AR
  • NPI 1457396616
  Medicare reassignment
• White River Health System, Inc.

  dba Midway Medical Clinic

  • Rural Health Clinic/Center
  • Cherokee Village, AR
  • NPI 1568432144
  Medicare reassignment
• Arkansas Health Group

  dba North Little Rock Emergency Doctors Group

  • Internal Medicine Physician
  • North Little Rock, AR
  • NPI 1326133943
  NPD

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

• White River Health System, Inc.

  dba Stone County Medical Center

  • Critical Access Hospital
  • Mountain View, AR
  • NPI 1417913419
  Care Compare affiliation

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1194232439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 MAIN ST",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739525",
            "telephone_number": "501-796-6740",
            "fax_number": "501-796-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "OLIVIA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Coffman
• Zachary Grant Cole, DPT
• Conway Regional Medical Center Inc (Conway Regional Medical Clinic-Vilonia)
• Barry Joe Dallas, P.D.
• David J. Manning, OD, PA (Vilonia Eye Care)
• Savannah Davis
• Sarah Elizabeth Eskola, OTD, OTR
• Stephen Grantham, RN
• Michael D Hambuchen Sr., R.PH.
• Harps Food Stores, Inc (Harps Pharmacy #229)

• Family Nurse Practitioner in Vilonia, AR
• Providers in Vilonia, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.

Verify at the official NPI Registry.