Active NPI
Christine Dahl Davies, CPNP-PC
- Pediatric Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1265709869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP011811
- Practice address
- Naval Hospital Jacksonville
2080 Child Street
Jacksonville, FL 32214-0001 - Phone
- (904) 542-7436
- NPI assigned
- Nov 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP011811 | PA | Primary |
Addresses
Primary practice location
Naval Hospital Jacksonville
2080 Child Street
Jacksonville, FL 32214-0001
Mailing address
Naval Hospital Jacksonville
2080 Child Street
Jacksonville, FL 32214-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011811 | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1265709869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL JACKSONVILLE",
"address_2": "2080 CHILD STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322140001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL JACKSONVILLE",
"address_2": "2080 CHILD STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322140001",
"telephone_number": "904-542-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "CHRISTINE",
"middle_name": "DAHL",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP011811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.