Individual provider Active NPI

Arlena Faye Davis

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1447771126
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134307 Issued in TX
Practice address
702 N Thompson St
Ste 137B
Conroe, TX 77301-2576
Phone
(936) 657-5161
Fax
(936) 657-5155
NPI assigned
Jul 3, 2017
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134307 TX Primary

Addresses

Primary practice location

702 N Thompson St
Ste 137B
Conroe, TX 77301-2576

Mailing address

702 N Thompson St
Ste 137B
Conroe, TX 77301-2576
Phone (713) 449-0065

Other practice location 1

1475 1960 Bypass East
Humble, TX 77338
Phone (281) 964-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180507001025 TX Practitioner - Nurse Practitioner 9931463585 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Family Wellness Center PLLC Family Current Accepting new patients
Emergency Hospital Systems LLC CurrentSince May 26, 2018 Accepting new patients
Ayanna Brown, M.D. LLC Past Accepting new patients

Locations

1017 S Travis Ave
Cleveland, TX 77327
Phone (281) 592-5400

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1447771126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N THOMPSON ST",
            "address_2": "STE 137B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012576",
            "telephone_number": "713-449-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N THOMPSON ST",
            "address_2": "STE 137B",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012576",
            "telephone_number": "936-657-5161",
            "fax_number": "936-657-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 1960 Bypass East",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "77338",
            "country_code": "US",
            "telephone_number": "281-964-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARLENA",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.