Active NPI
Patience Marie Davis, APRN
- Acute Care Nurse Practitioner
- Port Charlotte, FL
National Provider Identifier
1285375196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11018288
- Practice address
- 2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038 - Phone
- (941) 766-5099
- Fax
- (941) 764-0194
- NPI assigned
- Apr 5, 2022
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11018288 | FL | Primary |
Addresses
Primary practice location
2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038
Mailing address
11750 SE Herbert Ave
Arcadia, FL 34266-3204
Phone (863) 990-0090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patience.davis.1@4692.direct.athenahealth.com |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018288 | FL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1285375196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11750 SE HERBERT AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663204",
"telephone_number": "863-990-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HARBOR BLVD STE 7",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525038",
"telephone_number": "941-766-5099",
"fax_number": "941-764-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATIENCE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11018288",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patience.davis.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2400 Harbor Blvd Ste 7",
"city": "Port Charlotte",
"state": "FL",
"country_code": "US",
"postal_code": "339525038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.