Active NPI
Zakia Davis, APRN
- Primary Care Nurse Practitioner
- Cleveland, OH
National Provider Identifier
1336686377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AG07210054
- Practice address
- 12713 Angelus Ave
Cleveland, OH 44105-4431 - Phone
- (216) 931-6473
- NPI assigned
- Jan 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG07210054 | OH | Primary |
Addresses
Primary practice location
12713 Angelus Ave
Cleveland, OH 44105-4431
Mailing address
27600 Chagrin Blvd Ste 300
Woodmere, OH 44122-4421
Phone (216) 777-3961
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zdavis@firstalliancehc.com | Direct | First Alliance Healthcare of Ohio |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220517000774 | OH | Practitioner - Nurse Practitioner | 8325425192 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG07210054 | OH | MD | Primary Care Nurse Practitioner |
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.
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1336686377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27600 CHAGRIN BLVD STE 300",
"city": "WOODMERE",
"state": "OH",
"postal_code": "441224421",
"telephone_number": "216-777-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12713 ANGELUS AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441054431",
"telephone_number": "216-931-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ZAKIA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-29",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "AG07210054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zdavis@firstalliancehc.com",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "First Alliance Healthcare of Ohio",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "27600 Chagrin Blvd Suite 300",
"city": "Woodmere",
"state": "OH",
"country_code": "US",
"postal_code": "44104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.