Active NPI
Elaine D. Davis, APRN
- Family Nurse Practitioner
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN3168062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Medical Group, LLC | Current | Accepting new patients | |
| Florida Rehab Specialists, PLLC | Current | Accepting new patients | |
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| North Florida Internal Medicine PA | Current | Accepting new patients | |
| Meridian Behavioral Healthcare, Inc. | Current | 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
- 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.
-
- Adult Medicine Physician
- Williston, FL
- NPI 1447941984
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Gainesville, FL
- NPI 1407143316
-
- Community/Behavioral Health Agency
- Gainesville, FL
- NPI 1134287154
-
- Internal Medicine Physician
- Gainesville, FL
- NPI 1114146776
-
- Community/Behavioral Health Agency
- Ocala, FL
- NPI 1033850797
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.