Individual provider Active NPI

Deborah Requa Davis, ARNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1235120445
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265071 Issued in AZ
Practice address
3100 N Glassford Hill Rd
Prescott Valley, AZ 86314-2285
Phone
(928) 777-7820
NPI assigned
Nov 4, 2005
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 265071 AZ Primary

Addresses

Primary practice location

3100 N Glassford Hill Rd
Prescott Valley, AZ 86314-2285

Mailing address

974 Hope LN
Chino Valley, AZ 86323-6753

Other identifiers 3

IdentifierTypeStateIssuer
MD1314309OtherWACONTROLLED SUBST. CERT.
265071OtherAZAZ BON
AP30007061OtherWAARNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, AZ, UT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180517000279 ID Practitioner - Nurse Practitioner 5092736512 Reassigns benefits to 1 organization
I20211118001215 AZ Practitioner - Nurse Practitioner 5092736512 Reassigns benefits to 1 organization
I20251015000906 UT Practitioner - Nurse Practitioner 5092736512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aleracare Aic LLCGroup PAC ID 8325419005, 19 clinicians
Aleracare of Utah IncGroup PAC ID 0446664312, 5 clinicians

Practice addresses (Care Compare)

20185 E Ocotillo Rd
Suite 105
Queen Creek, AZ 85142-7663
Phone (888) 209-8874

20950 N Tatum Blvd
Suite 350
Phoenix, AZ 85050-4256
Phone (888) 209-8874

2110 W 24TH St
Suite a
Yuma, AZ 85364-8878
Phone (888) 209-8874

2120 W Ina Rd
Suite 100
Tucson, AZ 85741-5501
Phone (888) 209-8874

2156 N Hill Field Rd
Suite 1
Layton, UT 84041-4771
Phone (888) 209-8874

3100 N Navajo Dr
Suite B3
Prescott Valley, AZ 86314-8654
Phone (888) 209-8874

312 N Alma School Rd
Suite 3
Chandler, AZ 85224-4354
Phone (888) 209-8874

3555 Western Ave
Kingman, AZ 86409-3291
Phone (888) 209-8874

7558 W Thunderbird Rd
Suite 9
Peoria, AZ 85381-6080
Phone (888) 209-8874

930 N Switzer Canyon Dr
Suite 201
Flagstaff, AZ 86001-4837
Phone (888) 209-8874

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265071AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aleracare of Utah Inc CurrentSince Sep 15, 2025 Accepting new patients
Aleracare Aic LLC Family CurrentSince Nov 7, 2022 Accepting new patients
Molina Care Connections, LLC. CurrentSince May 1, 2018 Accepting new patients
Pure Infusion of Arizona LLC PastSince Mar 21, 2026 Accepting new patients
Family Home Care Corporation Past Accepting new patients
Spokane Regional Health District Past Accepting new patients
Mobile Medical Clinic Chess Inc Past Accepting new patients

Locations (25 of 28)

13026 W Rancho Santa Fe Blvd
Ste B100
Avondale, AZ 85392
Phone (623) 935-7900

2065 Highway 95
Ste 31
Bullhead City, AZ 86442
Phone (928) 255-1046

312 N Alma School Rd
Ste 3
Chandler, AZ 85224

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

930 N Switzer Canyon Dr
Ste 201
Flagstaff, AZ 86001
Phone (520) 542-2125

1760 E Pecos Rd
Ste 301
Gilbert, AZ 85295
Phone (480) 806-2100

13657 W McDowell Rd
Ste 204
Goodyear, AZ 85395
Phone (623) 267-8520

3555 Western Ave
Kingman, AZ 86409
Phone (928) 757-8440

5520 E Main St
Ste 3
Mesa, AZ 85205
Phone (480) 716-4272

7558 W Thunderbird Rd
Ste 9
Peoria, AZ 85381

9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725

20950 N Tatum Blvd
Ste 350
Phoenix, AZ 85050
Phone (480) 502-6651

4045 E Bell Rd
Ste 157
Phoenix, AZ 85032
Phone (602) 404-0015

4350 E Ray Rd
Ste 108
Phoenix, AZ 85044
Phone (480) 759-1040

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

3100 N Navajo Dr
Ste B3
Prescott Valley, AZ 86314
Phone (480) 716-3476

3237 N Windsong Dr
Prescott Vly, AZ 86314
Phone (602) 680-0236

20185 E Ocotillo Rd
Ste 105
Queen Creek, AZ 85142
Phone (480) 677-3600

12301 W Bell Rd
Ste A105
Surprise, AZ 85378
Phone (480) 716-4173

2120 W Ina Rd
Ste 100
Tucson, AZ 85741
Phone (520) 395-0471

6369 E Tanque Verde Rd
Ste 220
Tucson, AZ 85715
Phone (520) 298-8388

7358 N La Cholla Blvd
Ste 100
Tucson, AZ 85741
Phone (520) 535-2375

2110 W 24th St
Ste A
Yuma, AZ 85364
Phone (855) 442-7700

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1235120445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 HOPE LN",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863236753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N GLASSFORD HILL RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142285",
            "telephone_number": "928-777-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEBORAH",
        "middle_name": "REQUA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBST. CERT.",
            "identifier": "MD1314309",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BON",
            "identifier": "265071",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "AP30007061",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.