Individual provider Active NPI

Lindsey Elizabeth Davis, PNP-PC

  • Pediatric Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1396264396
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5009870 Issued in NC
Practice address
2607 W Arrowood Rd
Charlotte, NC 28273-6134
Phone
(704) 588-0232
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5009870 NC Primary

Addresses

Primary practice location

2607 W Arrowood Rd
Charlotte, NC 28273-6134

Mailing address

4134 Foxmoor Dr
Charlotte, NC 28226-7848
Phone (270) 922-6293

Other practice location 1

225 Natchez Trace Ave
Bowling Green, KY 42103
Phone (270) 783-3573 ext. 1034

Other identifiers 1

IdentifierTypeStateIssuer
7100619570MedicaidKY

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

LicenseStateTypeSpecialty
5009870NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midcarolina Pediatrics PastSince Jul 24, 2022 Accepting new patients

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1396264396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 FOXMOOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267848",
            "telephone_number": "270-922-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 W ARROWOOD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736134",
            "telephone_number": "704-588-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Natchez Trace Ave",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42103",
            "country_code": "US",
            "telephone_number": "270-783-3573 x1034",
            "fax_number": "270-783-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5009870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100619570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.