Individual provider Active NPI

Janina M Davis, ARNP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1396998340
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 1143902 Issued in FL
Practice address
10960 Dylan Loren Cir
Orlando, FL 32825-4439
Phone
(407) 420-7952
Fax
(407) 420-7953
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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 ARNP 1143902 FL Primary

Addresses

Primary practice location

10960 Dylan Loren Cir
Orlando, FL 32825-4439

Mailing address

PO Box 691326
Orlando, FL 32869-1326
Phone (407) 420-7952

Other identifiers 2

IdentifierTypeStateIssuer
307210001MedicaidFL
Y0A6VOtherFLBCBS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 1143902FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Internal Medicine, PA Past Accepting new patients
Nephrology Partners of Central Florida LLC Past Accepting new patients
East Coast Hospital Inpatient Specialists PLC Past Accepting new patients
Hasan Shahab, M.D., P.a Past Accepting new patients
Smart Life Consult LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jdavi448@yourcarecommunity.org

Organizations & group practices 5

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1396998340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691326",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328691326",
            "telephone_number": "407-420-7952",
            "fax_number": "407-420-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10960 DYLAN LOREN CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254439",
            "telephone_number": "407-420-7952",
            "fax_number": "407-420-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JANINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 1143902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307210001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0A6V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.