Individual provider Active NPI

Esther Louise Davis, ADVANCED PRACTICE MI

  • Advanced Practice Midwife
  • Pensacola, FL
National Provider Identifier
1215097746
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11006773 Issued in FL
Practice address
5153 N 9TH Ave Ste 307
Pensacola, FL 32504-5719
Phone
(850) 416-6378
Fax
(850) 416-2278
NPI assigned
Dec 12, 2006
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1051239 AL
Advanced Practice Midwife 367A00000X APRN11006773 FL Primary

Addresses

Primary practice location

5153 N 9TH Ave Ste 307
Pensacola, FL 32504-5719

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6014

Other identifiers 1

IdentifierTypeStateIssuer
569900125MedicaidAL

Other names 1

  • Ms. Esther Louise Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1051239ALMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: esther.davis.2@9582.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1215097746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6014",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE STE 307",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045719",
            "telephone_number": "850-416-6378",
            "fax_number": "850-416-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ESTHER",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "ADVANCED PRACTICE MI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AL",
            "license": "1051239",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11006773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569900125",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "WILSON",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "ADVANCED PRACTICE MI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.