Individual provider Active NPI

Davasha Nuur

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1396150983
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310992 Issued in NY
Practice address
1317 Castle Hill Ave
Bronx, NY 10462-4806
Phone
(718) 765-6343
Fax
(347) 736-0203
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 681638 NY
Adult Health Nurse Practitioner 363LA2200X 310992 NY Primary

Addresses

Primary practice location

1317 Castle Hill Ave
Bronx, NY 10462-4806

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

2052 Tillotson Ave
Bronx, NY 10475-1560
Phone (718) 671-2100

Other practice location 2

1114 Liberty Ave
Brooklyn, NY 11208-2922
Phone (718) 765-6058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224000650 NY Practitioner - Nurse Practitioner 3072986926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

Practice addresses (Care Compare)

1114 Liberty Ave
Brooklyn, NY 11208-2922
Phone (718) 765-6058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
681638NYMDRegistered Nurse
310992NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Myers Medical, P.C. CurrentSince Mar 6, 2023 Accepting new patients

Locations

1317 Castle Hill Ave
Bronx, NY 10462
Phone (718) 765-6343

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

1114 Liberty Ave
Brooklyn, NY 11208
Phone (718) 765-6058

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1396150983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624806",
            "telephone_number": "718-765-6343",
            "fax_number": "347-736-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2052 Tillotson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104751560",
            "country_code": "US",
            "telephone_number": "718-671-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112082922",
            "country_code": "US",
            "telephone_number": "718-765-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUUR",
        "first_name": "DAVASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "681638",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.