Active NPI
Adam Coleman Davis, ARNP
- Family Nurse Practitioner
- Kent, WA
National Provider Identifier
1356772370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60421875
- Practice address
- 10024 SE 240TH St
Kent, WA 98031-5124 - Phone
- (253) 859-2273
- NPI assigned
- Dec 1, 2013
- Last updated
- Dec 1, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60421875 | WA | Primary |
Addresses
Primary practice location
10024 SE 240TH St
Kent, WA 98031-5124
Mailing address
2010 Broadway E Apt B
Seattle, WA 98102-4152
Phone (847) 275-4656
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385856000000",
"number": "1356772370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 BROADWAY E APT B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024152",
"telephone_number": "847-275-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10024 SE 240TH ST",
"city": "KENT",
"state": "WA",
"postal_code": "980315124",
"telephone_number": "253-859-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ADAM",
"middle_name": "COLEMAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-01",
"last_updated": "2013-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60421875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.