Anna Davis, APRN, MS, BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

016017-23-08 Issued in NH

Practice address

226 Rockingham Rd
Londonderry, NH 03053-2107

Phone

(603) 425-2989

Fax

(603) 425-2978

NPI assigned

Sep 22, 2006

Last updated

Apr 5, 2012By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 1, 2016 through Nov 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1437258688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ROCKINGHAM RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532107",
            "telephone_number": "603-425-2989",
            "fax_number": "603-425-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ROCKINGHAM RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532107",
            "telephone_number": "603-425-2989",
            "fax_number": "603-425-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNA",
        "credential": "APRN, MS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NH",
            "license": "016017-23-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340953",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NH",
            "identifier": "40Y000894NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne D Dakoulas, MSW LICSW
• Viviane Damota
• Dana-Farber Cancer Institute, Inc.
• Daniel a. Vasquez, D.D.S.,P.C.
• Daniela E. Verani, MD PA
• Keely Davis, MA
• Nancy Delew
• Carly Dell'Ova
• Alexandra Gatzoulis Demos, M.S., CCC-SLP
• Charles Demoss

• Psychiatric/Mental Health Registered Nurse in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Psychiatric/Mental Health Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.