Active NPI
Melody L Davis, CRNP
- Women's Health Nurse Practitioner
- Mobile, AL
National Provider Identifier
1346474012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1089234
- Practice address
- 11 N Water St
10TH Floor
Mobile, AL 36602-3809 - Phone
- (362) 341-2870
- Fax
- (362) 341-2870
- NPI assigned
- May 11, 2009
- Last updated
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1089234 | AL | Primary |
Addresses
Primary practice location
11 N Water St
10TH Floor
Mobile, AL 36602-3809
Mailing address
333 Commerce St
Suite 700
Nashville, TN 37201-1826
Phone (615) 913-5086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089234 | AL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1952831422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1346474012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST",
"address_2": "SUITE 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011826",
"telephone_number": "615-913-5086",
"fax_number": "888-494-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N WATER ST",
"address_2": "10TH FLOOR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366023809",
"telephone_number": "362-341-2870",
"fax_number": "362-341-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MELODY",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AL",
"license": "1089234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.