Jessica Davis, R.N., N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209020876 Issued in IL

Practice address

823 Congress Ave Ste 300
Austin, TX 78701-2448

Phone

(917) 261-4414

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TX, VA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Lifemd Southern Patient Medical Care PC

  • Clinic/Center
  • Orlando, FL
  • NPI 1417635921

  AL, Nurse Practitioner

  Medicare reassignment NPD
• Lifemd South Central Patient Medical Care PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1871270348

  Nurse Practitioner

  NPD
• Lifemd Atlantic Patient Medical Care PC

  • Clinic/Center
  • Hoboken, NJ
  • NPI 1164100657

  Nurse Practitioner

  NPD
• Lifemd Midwest Patient Medical Care PC

  • Clinic/Center
  • Troy, MI
  • NPI 1497433734

  Nurse Practitioner

  NPD
• Lifemd New England Patient Medical Care PA

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1376305847
  NPD
• New York Patient Medical Care PC

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1629757919
  NPD
• Puopolo MD PC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477230928

  Nurse Practitioner

  NPD
• Eden Health Medical of Texas, PA

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1275116659
  NPD (past)

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1447563275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PATTON CHAPEL RD STE 103",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CONGRESS AVE STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012448",
            "telephone_number": "917-261-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N Saint Paul St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752013923",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Renaissance Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482431599",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10440 Little Patuxent Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443648",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142509",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Jackson Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043597",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "699 Walnut St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093949",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Page Mill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943062073",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N West St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011058",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200042601",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pearl St Fl 14",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061034500",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 18th St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802022449",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 4th Ave Fl 7",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191500",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Wilson Blvd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222092281",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Alaskan Way S Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042785",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 N Water St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022603",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Capitol St Ste 18",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253012234",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Main Street",
            "address_2": "24th fl",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06103",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 S Dearborn St # 1025",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606035517",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 5th Ave Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100365114",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15333 N Pima Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602717",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Washington Ave N Fl 2",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554011619",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Broadway Fl 23",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100061452",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ofc 233",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154281",
            "country_code": "US",
            "telephone_number": "619-886-4921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "R.N., N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020876",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP19909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Davis
• Jay Alan Davis, M.D.
• Jeffrey Davis, LPC
• Jeffrey Wayne Davis, LCDC
• Jensina Davis, LCSW
• Jordyn Davis
• Joshua Lane Davis, D.O.
• Katherine Davis, LPC-INTERN, LCDC
• Kelsey N Davis
• Kim Suzanne Davis, PH.D.

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.

Verify at the official NPI Registry.