Individual provider Active NPI

Stefanie M Davis, WHNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1407003254
Registry record updated Aug 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP3098 Issued in AZ
Practice address
16641 N 40TH St
Suite 2
Phoenix, AZ 85032-3343
Phone
(602) 482-2929
NPI assigned
Aug 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP3098 AZ Primary

Addresses

Primary practice location

16641 N 40TH St
Suite 2
Phoenix, AZ 85032-3343

Mailing address

26535 N Wrangler Rd
Scottsdale, AZ 85255-1450
Phone (480) 513-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170714000578 AZ Practitioner - Nurse Practitioner 8123314127

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219449600000",
    "number": "1407003254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26535 N WRANGLER RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852551450",
            "telephone_number": "480-513-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16641 N 40TH ST",
            "address_2": "SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323343",
            "telephone_number": "602-482-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEFANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2008-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP3098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.