Individual provider Active NPI

Valerie Davidson

  • Nurse Practitioner
  • Waco, TX
National Provider Identifier
1295105252
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP128954 Issued in TX
Practice address
7003 Woodway Dr
Suite 311
Waco, TX 76712-6170
Phone
(254) 537-6000
Fax
(254) 537-6001
NPI assigned
Oct 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP128954 TX Primary

Addresses

Primary practice location

7003 Woodway Dr
Suite 311
Waco, TX 76712-6170

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

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
I20151113000480 TX Practitioner - Nurse Practitioner 7315257821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

1015 W University Ave
Suite 700
Georgetown, TX 78628-5355
Phone (512) 691-6520

7003 Woodway Dr
312 Providence Clinic Londonderry
Waco, TX 76712-6163
Phone (254) 772-7300

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Oct 1, 2015 Accepting new patients
Seton Family of Doctors CurrentSince May 1, 2022 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Providence Health Alliance CurrentSince Oct 1, 2015 Accepting new patients
Seton Family of Doctors CurrentSince May 1, 2022 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1015 W University Ave
Ste 700
Georgetown, TX 78628
Phone (512) 324-9699

729 Sun Valley Blvd
Hewitt, TX 76643

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

7003 Woodway Dr
Ste 312
Waco, TX 76712
Phone (254) 772-7300

2100 Lake Shore Dr
#200
Waco, TX 76708
Phone (254) 537-6000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

7003 Woodway Dr
Ste 311
Woodway, TX 76712
Phone (254) 537-6000

Interoperability endpoints

  • Direct secure messaging: valerie.davidson.1@8363.direct.athenahealth.com
  • Direct secure messaging: valerie.davidson.1@9635.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1295105252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-537-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 WOODWAY DR",
            "address_2": "SUITE 311",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126170",
            "telephone_number": "254-537-6000",
            "fax_number": "254-537-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.