Individual provider Active NPI

Emily Davis

  • Pediatric Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1386100857
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
203914 Issued in LA
Practice address
2226 Worley Dr
Alexandria, LA 71301-3600
Phone
(318) 484-3401
NPI assigned
Feb 20, 2019
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 203914 LA Primary

Addresses

Primary practice location

2226 Worley Dr
Alexandria, LA 71301-3600

Mailing address

42 Vit Rd
Pineville, LA 71360-9788
Phone (318) 729-6270

Other practice location 1

338 Moreau St Ste E
Marksville, LA 71351-2957
Phone (318) 253-7022

Other practice location 2

501 Medical Center Dr # 3B2
Alexandria, LA 71301-8124
Phone (318) 484-3899

Other practice location 3

192 Stilley Rd
Pineville, LA 71360-5933
Phone (318) 484-3401

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203914LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Practice Past Accepting new patients
Shahid Mansoor, M.D. a Professional Medical Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.davis.2@22920.direct.athenahealth.com

Organizations & group practices 2

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1386100857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VIT RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713609788",
            "telephone_number": "318-729-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 WORLEY DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013600",
            "telephone_number": "318-484-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Moreau St Ste E",
            "address_purpose": "LOCATION",
            "city": "Marksville",
            "state": "LA",
            "postal_code": "713512957",
            "country_code": "US",
            "telephone_number": "318-253-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Medical Center Dr # 3B2",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018124",
            "country_code": "US",
            "telephone_number": "318-484-3899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "192 Stilley Rd",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713605933",
            "country_code": "US",
            "telephone_number": "318-484-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "203914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.