Individual provider Active NPI

Christy E. Davis-Wester, APRN

  • Primary Care Nurse Practitioner
  • Chipley, FL
National Provider Identifier
1376597336
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN2749462 Issued in FL
Practice address
1376 Brickyard Rd Ste 2
Chipley, FL 32428-6392
Phone
(850) 638-0552
Fax
(850) 638-0504
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2749462 FL
Primary Care Nurse Practitioner 363LP2300X APRN2749462 FL Primary

Addresses

Primary practice location

1376 Brickyard Rd Ste 2
Chipley, FL 32428-6392

Mailing address

2367 Hummingbird Drive
Marianna, FL 32448
Phone (850) 526-4555

Other identifiers 1

IdentifierTypeStateIssuer
307351300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060127000514 FL Practitioner - Nurse Practitioner 1850305962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Florida Healthcare, Inc.Group PAC ID 2668363771, 37 clinicians

Practice addresses (Care Compare)

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

1410 Brickyard Rd
Chipley, FL 32428-5966
Phone (850) 638-3400

925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 638-9399

Hospital & facility affiliations

  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308
  • Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2749462FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Healthcare, Inc CurrentSince Aug 1, 2018 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Aug 1, 2018 Accepting new patients
Patients First Lake Ella Medical Center P a CurrentSince Jul 10, 2018 Accepting new patients
Northwest Florida Healthcare, Inc. Past Accepting new patients

Locations

1376 Brickyard Rd
Ste 3
Chipley, FL 32428
Phone (850) 638-0552

1376 Brickyard Rd
Ste 2
Chipley, FL 32428
Phone (850) 638-0552

1376 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-0552

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

3401 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 386-2266

3258 N Monroe St
Tallahassee, FL 32303
Phone (850) 562-2010

505 Appleyard Dr
Tallahassee, FL 32304
Phone (850) 576-8988

1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222

1705 Mahan Dr
Tallahassee, FL 32308
Phone (850) 877-7164

2907 Kerry Forest Pkwy
Tallahassee, FL 32309
Phone (850) 668-3380

1160 Apalachee Pkwy
Tallahassee, FL 32301
Phone (850) 878-8843

590 Lanier Ave W
Fayetteville, GA 30214

Interoperability endpoints

  • Direct secure messaging: christy.davis.1@14612.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1376597336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 HUMMINGBIRD DRIVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32448",
            "telephone_number": "850-526-4555",
            "fax_number": "850-526-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 BRICKYARD RD STE 2",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286392",
            "telephone_number": "850-638-0552",
            "fax_number": "850-638-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-WESTER",
        "first_name": "CHRISTY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2749462",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN2749462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307351300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

Verify at the official NPI Registry.