Individual provider Active NPI

Jenifer Rena Davidson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1316748593
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1193388 Issued in TX
Practice address
1704 Mall Cir
Fort Worth, TX 76116-1537
Phone
(817) 769-9166
Fax
(817) 984-7604
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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 1193388 TX Primary

Addresses

Primary practice location

1704 Mall Cir
Fort Worth, TX 76116-1537

Mailing address

1704 Mall Cir
Fort Worth, TX 76116-1537
Phone (817) 769-9166

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
I20250808003988 TX Practitioner - Nurse Practitioner 6800394826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Happy Health and Wellness LLCGroup PAC ID 5698111946, 10 clinicians

Practice addresses (Care Compare)

1704 Mall Cir
Fort Worth, TX 76116-1537
Phone (512) 517-6626

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Health and Wellness LLC CurrentSince May 29, 2025 Accepting new patients

Locations

2000 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 282-8018

1704 Mall Cir
Fort Worth, TX 76116
Phone (817) 738-9301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHGFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGCFDD

Organizations & group practices 1

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": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1316748593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MALL CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161537",
            "telephone_number": "817-769-9166",
            "fax_number": "817-984-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MALL CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761161537",
            "telephone_number": "817-769-9166",
            "fax_number": "817-984-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JENIFER",
        "middle_name": "RENA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1193388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.