Individual provider Active NPI

Amber Davis, APRN

  • Nurse Practitioner
  • Grove, OK
National Provider Identifier
1366841702
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
93031 Issued in OK
Practice address
900 E 13TH St Ste 200
Grove, OK 74344-2976
Phone
(918) 592-0999
NPI assigned
Aug 21, 2014
Last updated
Nov 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 93031 OK Primary

Addresses

Primary practice location

900 E 13TH St Ste 200
Grove, OK 74344-2976

Mailing address

900 E 13TH St Ste 200
Grove, OK 74344-2976
Phone (918) 592-0999

Other practice location 1

601 E 13th St Ste A
Grove, OK 74344-2962
Phone (918) 786-4914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20141121000678 OK Practitioner - Nurse Practitioner 0648492918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Heart LLCGroup PAC ID 4587737135, 130 clinicians

Practice addresses (Care Compare)

900 E 13TH St
Suite 200
Grove, OK 74344-2976
Phone (918) 786-7667

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Heart LLC CurrentSince Mar 21, 2016 Accepting new patients
Summit Medical Center Past Accepting new patients
Oklahoma Heart Inc Past Accepting new patients

Locations

1501 N Florence Ave
Ste 201
Claremore, OK 74017
Phone (918) 341-1886

900 E 13th St
Ste 200
Grove, OK 74344
Phone (918) 786-7667

9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820

Dept 1218
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: adavis112787@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/OHI/api/FHIR/R4

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1366841702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 13TH ST STE 200",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442976",
            "telephone_number": "918-592-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 13TH ST STE 200",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442976",
            "telephone_number": "918-592-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E 13th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Grove",
            "state": "OK",
            "postal_code": "743442962",
            "country_code": "US",
            "telephone_number": "918-786-4914",
            "fax_number": "918-786-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "93031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.