Individual provider Active NPI

Mitsy Davies, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1245754316
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1134707 Issued in TX
Practice address
1401 S Buckner Blvd Ste 139
Dallas, TX 75217-1943
Phone
(469) 488-4400
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 AP1134707 TX Primary

Addresses

Primary practice location

1401 S Buckner Blvd Ste 139
Dallas, TX 75217-1943

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20171128001106 TX Practitioner - Nurse Practitioner 7113284217 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1134707TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Healthcare Network LLC CurrentSince Aug 10, 2020 Accepting new patients
Topcare Medical Group Inc CurrentSince May 12, 2018 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients

Locations

12377 Merit Dr
Ste 300
Dallas, TX 75251

3247 Dawes Dr
Dallas, TX 75211
Phone (214) 330-7767

2727 Lyndon B Johnson Fwy
Ste 2129
Dallas, TX 75234
Phone (214) 935-5777

1401 S Buckner Blvd
Ste 139
Dallas, TX 75217
Phone (469) 488-4400

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

122 W John Carpenter Fwy
Ste 420
Irving, TX 75039

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

Organizations & group practices 3

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1245754316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 420",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392014",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BUCKNER BLVD STE 139",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171943",
            "telephone_number": "469-488-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "MITSY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1134707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.