Active NPI
Patricia Michele Davis, RN, BSN
- Registered Nurse
- Sutherland, NE
National Provider Identifier
1386935690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 50890
- Practice address
- 741 Walnut Street
Sutherland, NE 69165-0724 - Phone
- (308) 386-8584
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 50890 | NE | Primary |
Addresses
Primary practice location
741 Walnut Street
Sutherland, NE 69165-0724
Mailing address
741 Walnut Street
Sutherland, NE 69165-0724
Phone (308) 386-8584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025590100 | Medicaid | NE |
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50890 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1386935690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 WALNUT STREET",
"city": "SUTHERLAND",
"state": "NE",
"postal_code": "691650724",
"telephone_number": "308-386-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 WALNUT STREET",
"city": "SUTHERLAND",
"state": "NE",
"postal_code": "691650724",
"telephone_number": "308-386-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PATRICIA",
"middle_name": "MICHELE",
"name_prefix": "Ms.",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "50890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025590100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sutherland, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.