Active NPI
Emily Davis
- Pediatric Nurse Practitioner
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 203914
- Practice address
- 2226 Worley Dr
Alexandria, LA 71301-3600 - Phone
- (318) 484-3401
- NPI assigned
- Feb 20, 2019
- Last updated
- Feb 20, 2019
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 203914 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Practice | Past | Accepting new patients | |
| Shahid Mansoor, M.D. a Professional Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinic/Center
- Marksville, LA
- NPI 1437188570
-
dba Avoyelles Pediatrics
- Rural Health Clinic/Center
- Alexandria, LA
- NPI 1710281431
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.