Annette Davis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

264862 Issued in AZ

Practice address

19875 N 51St Ave
Glendale, AZ 85308-5114

Phone

(623) 581-8998

Fax

(623) 581-6461

NPI assigned

Nov 16, 2021

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonoran Medical CentersGroup PAC ID 0648260364, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: annette.davis.p1@direct.sonoranmed.nextgenshare.com

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.

• Sonoran Medical Centers

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1417053885
  Medicare reassignment Care Compare group NPD
• Lankford Holdings Monogram, Inc

  • Non-Pharmacy Dispensing Site
  • Glendale, AZ
  • NPI 1134561939
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1437815214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085114",
            "telephone_number": "623-581-8998",
            "fax_number": "623-581-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085114",
            "telephone_number": "623-581-8998",
            "fax_number": "623-581-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "264862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Davies Hoover, LPC
• Breanna Davies
• Davis Orthodontics
• Divon L Davis-Boddie
• Debra Edith Davis-Johnson, PH.D.
• Daniel Adam Davis, M.D.
• Darla Renee Davis, P.T.
• David B Davis
• Janece M Davis, DDS
• Jason Davis, PTA

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.