Individual provider Active NPI

Christine Gray Davis, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1336869221
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184979 Issued in VA
Practice address
1185 Armory Dr
Fredericksburg, VA 22401-5421
Phone
(540) 656-2933
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 0024184979 VA Primary

Addresses

Primary practice location

1185 Armory Dr
Fredericksburg, VA 22401-5421

Mailing address

1965 Emancipation Hwy Ste 100
Fredericksburg, VA 22401-6213
Phone (540) 735-0560

Other practice location 1

1965 Emancipation Hwy Ste 100
Fredericksburg, VA 22401-6213
Phone (540) 735-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221114001923 VA Practitioner - Nurse Practitioner 7214304708 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Virginia Urgent Care LLC CurrentSince Aug 7, 2023 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 7, 2022 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 4, 2022 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 7, 2022 Accepting new patients

Locations

1965 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 361-4222

1965 Emancipation Hwy
Ste 100
Fredericksburg, VA 22401
Phone (540) 735-0560

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1336869221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 EMANCIPATION HWY STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-735-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 ARMORY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015421",
            "telephone_number": "540-656-2933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 Emancipation Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224016213",
            "country_code": "US",
            "telephone_number": "540-735-0560",
            "fax_number": "540-735-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTINE",
        "middle_name": "GRAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.