Individual provider Active NPI

Amy Diane Davis, APRN-FNP

  • Family Nurse Practitioner
  • Nortonville, KY
National Provider Identifier
1306475173
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014533 Issued in KY
Practice address
190 N Hopkinsville St
Nortonville, KY 42442-9799
Phone
(270) 676-6063
Fax
(270) 676-6064
NPI assigned
Apr 3, 2020
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 3014533 KY Primary

Addresses

Primary practice location

190 N Hopkinsville St
Nortonville, KY 42442-9799

Mailing address

588 Lily LN
Hanson, KY 42413-8500
Phone (270) 875-1831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200503000005 KY Practitioner - Nurse Practitioner 8729419940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Family Medicine and Urgent CareGroup PAC ID 7810369238, 3 clinicians

Practice addresses (Care Compare)

190 N Hopkinsville St
Nortonville, KY 42442-9799
Phone (270) 676-6063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014533KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ack Healthcare Management, LLC Current Accepting new patients
Ack Healthcare Management LLC CurrentSince May 1, 2020 Accepting new patients
Pioneer Family Medicine and Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Ack Healthcare Management LLC CurrentSince May 1, 2020 Accepting new patients

Locations

1704 2nd St
Henderson, KY 42420
Phone (270) 757-2202

190 N Hopkinsville St
Nortonville, KY 42442
Phone (270) 676-6063

Interoperability endpoints

  • Direct secure messaging: amy.davis@pfmauc-ky.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1306475173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 LILY LN",
            "city": "HANSON",
            "state": "KY",
            "postal_code": "424138500",
            "telephone_number": "270-875-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N HOPKINSVILLE ST",
            "city": "NORTONVILLE",
            "state": "KY",
            "postal_code": "424429799",
            "telephone_number": "270-676-6063",
            "fax_number": "270-676-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nortonville, KY

Sources for this page

Verify at the official NPI Registry.