Individual provider Active NPI

Elaine D. Davis, APRN

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1447200837
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3168062 Issued in FL
Practice address
4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone
(352) 378-2121
Fax
(877) 552-6434
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APRN3168062
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3168062 FL
Family Nurse Practitioner 363LF0000X APRN3168062 FL Primary

Addresses

Primary practice location

4200 NW 90TH Blvd
Gainesville, FL 32606-3809

Mailing address

4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (352) 378-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090428000536 FL Practitioner - Nurse Practitioner 2860540028 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Florida Rehab Specialists, PLLC CurrentSince Apr 14, 2024 Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Jan 3, 2022 Accepting new patients
North Florida Internal Medicine PA CurrentSince May 22, 2026 Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Jan 3, 2022 Accepting new patients

Locations

901 NW 8th Ave
Ste D6
Gainesville, FL 32601

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

6228 NW 43rd St
Ste B
Gainesville, FL 32653
Phone (352) 332-6680

4300 SW 13th St
Gainesville, FL 32608

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACDCA

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1447200837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121",
            "fax_number": "877-552-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121",
            "fax_number": "877-552-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELAINE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "APRN3168062",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3168062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3168062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.