Individual provider Active NPI

Zakia Davis, APRN

  • Primary Care Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1336686377
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG07210054 Issued in OH
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

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517000774 OH Practitioner - Nurse Practitioner 8325425192 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG07210054OHMDPrimary 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.

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

Verify at the official NPI Registry.