Individual provider Active NPI

Heather O'Neal Davis, FNP

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1407265002
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007071 Issued in NC
Practice address
125 Days Inn Dr
Mooresville, NC 28117-6323
Phone
(704) 660-9111
Fax
(704) 663-4504
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 5007071 NC Primary

Addresses

Primary practice location

125 Days Inn Dr
Mooresville, NC 28117-6323

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 660-9111

Other practice location 1

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20141027002634 NC Practitioner - Nurse Practitioner 8820219348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

125 Days Inn Dr
Mooresville, NC 28117-6323
Phone (704) 660-9111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007071NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Jun 1, 2015 Accepting new patients
Piedmont Healthcare, PA CurrentSince Dec 21, 2016 Accepting new patients
Piedmont Healthcare, P.a. CurrentSince Dec 21, 2016 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jun 1, 2015 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

125 Days Inn Dr
Mooresville, NC 28117
Phone (704) 235-1111

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

Organizations & group practices 4

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1407265002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-660-9111",
            "fax_number": "704-663-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DAYS INN DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176323",
            "telephone_number": "704-660-9111",
            "fax_number": "704-663-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Justice St",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287913410",
            "country_code": "US",
            "telephone_number": "828-696-1000",
            "fax_number": "828-696-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "O'NEAL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.