Individual provider Active NPI

Lauren Rae Davison, ARNP

  • Family Nurse Practitioner
  • Clarinda, IA
National Provider Identifier
1285143222
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A125578 Issued in IA
Practice address
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone
(712) 542-2176
NPI assigned
Sep 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 A125578 IA Primary

Addresses

Primary practice location

220 Essie Davison Dr
Clarinda, IA 51632-2915

Mailing address

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Other practice location 1

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180228000113 IA Practitioner - Nurse Practitioner 1658632062 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125578IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarinda Regional Health Center Current Accepting new patients
Clarinda Regional Health Center CurrentSince Jul 15, 2019 Accepting new patients
Shenandoah Medical Center CurrentSince Mar 4, 2018 Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Shenandoah Medical Center CurrentSince Mar 4, 2018 Accepting new patients
Shenandoah Medical Center Current Accepting new patients

Locations

303 Pearl St
Bedford, IA 50833
Phone (712) 523-1146

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240

309 S 5th Ave
Villisca, IA 50864
Phone (712) 826-3003

Organizations & group practices 6

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1285143222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Essie Davison Dr",
            "address_purpose": "LOCATION",
            "city": "Clarinda",
            "state": "IA",
            "postal_code": "516322915",
            "country_code": "US",
            "telephone_number": "712-542-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "LAUREN",
        "middle_name": "RAE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A125578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.