Connie Davis, ARNP,CWON,DAPWCA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2634772 Issued in FL

Practice address

700 SE 5TH Ter Ste 2
Crystal River, FL 34429-4865

Phone

(352) 564-0444

Fax

(352) 564-4222

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417078692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 S MOONLIT PT",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344482164",
            "telephone_number": "352-628-3393",
            "fax_number": "352-628-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER STE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294865",
            "telephone_number": "352-564-0444",
            "fax_number": "352-564-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CONNIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP,CWON,DAPWCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2634772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.