Rachel Renee Davidson
Individual provider Active NPI Family Nurse Practitioner · Livingston, TN
NPI 1386229151 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1386229151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 29255 (TN)
- Practice address
- 5880 Bradford Hicks Dr
Livingston, TN 38570-2236 - Phone
- (931) 823-6260
- Fax
- (931) 823-5821
- NPI assigned
- Mar 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Practice addresses (Care Compare)
105 S Willow Ave
Cookeville, TN 38501-4667
Phone (931) 526-9518
Hospital & facility affiliations
- Livingston Regional Hospital
- Cookeville Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210407002055 | TN | Practitioner - Nurse Practitioner | 9032526165 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29255 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic PC | Current |
Accepting new patients | |
| State of Tennessee | Current | Accepting new patients | |
| Campbell Clinic, PC | Current |
Accepting new patients | |
| State of Tennessee | Current |
Accepting new patients | |
| State of Tennessee | Current |
Accepting new patients |
Locations
105 S Willow Ave
Ste 100
Cookeville, TN 38501
Phone (931) 267-4929
1100 England Dr
Cookeville, TN 38501
Phone (931) 528-7531
317 W Spring St
Cookeville, TN 38501
Phone (931) 520-9250
105 S Willow Ave
Cookeville, TN 38501
Phone (931) 372-7716
5880 Bradford Hicks Dr
Livingston, TN 38570
Phone (931) 823-6260
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- rachel.davidson.1@1366.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29255 | TN | Yes |
Addresses
Primary practice location
5880 Bradford Hicks Dr
Livingston, TN 38570-2236
Mailing address
1100 England Dr
Cookeville, TN 38501-0924
Phone (931) 520-4466
Other practice location 1
562 W Main St
Cookeville, TN 38506-5382
Phone (931) 854-9601
Other practice location 2
317 W Spring St
Cookeville, TN 38501-7102
Phone (931) 526-9518
Other providers in Livingston, TN
- Cumberland Plateau Recovery
- Courtney Lynn Cummings
- Curanet Health Solutions, LLC
- D Elizabeth Orsburn MD PLC
- Jennifer Suzette Davidson
- Brian Davis
- Kimberly Dearrillaga
- Jacinda Marie Delk
- Sherri C Depriest
- DHC Operations Inc
All providers in Livingston, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.