NPIMap

Individual provider Active NPI

Amy Karen Davis, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1386820744
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
630586 Issued in TX
Practice address
2014 Galleria Oaks Dr
Texarkana, TX 75503-4620
Phone
(903) 792-2991
Fax
(903) 792-2996
NPI assigned
Jan 16, 2008
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 630586 TX Primary

Addresses

Primary practice location

2014 Galleria Oaks Dr
Texarkana, TX 75503-4620

Mailing address

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100105000072 TX Practitioner - Nurse Practitioner 1355482944 Reassigns benefits to 1 organization
I20260122000702 AR Practitioner - Nurse Practitioner 1355482944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Memorial HospitalGroup PAC ID 7315851599, 8 clinicians

Practice addresses (Care Compare)

132 Medical Cir
Nashville, AR 71852-8606
Phone (870) 845-8914

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
630586TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collom & Carney Clinic Association Current Accepting new patients
Howard Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom & Carney Clinic Association CurrentSince Aug 1, 2012 Accepting new patients
Howard Memorial Hospital Family CurrentSince Jan 1, 2026 Accepting new patients
Collom & Carney Clinic Association CurrentSince Aug 1, 2012 Accepting new patients
Collom & Carney Clinic Association Current Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients
Encompass Health Rehabilitation Hospital of Texarkana, Inc. Past Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients

Locations

110 Medical Cir
Nashville, AR 71852
Phone (870) 845-6051

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

132 Medical Cir
Nashville, AR 71852
Phone (870) 845-4400

2014 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-2990

2931 Richmond Rd
Texarkana, TX 75503
Phone (903) 614-3200

5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008

515 W 12th St
Texarkana, TX 75501
Phone (903) 735-5000

Interoperability endpoints

  • Direct secure messaging: amy.davis.p1@direct.collom-carney.nextgenshare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/howard-9d20da0d

Organizations & group practices 11

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 4

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1386820744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034620",
            "telephone_number": "903-792-2991",
            "fax_number": "903-792-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "KAREN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "630586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.