Stephanie Ann Davis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AR1162 Issued in AR

Practice address

620 Broadway St
Van Buren, AR 72956-5830

Phone

(479) 474-5061

NPI assigned

Aug 20, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.davis.1@14940.direct.athenahealth.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.

• Mercy Clinic Fort Smith Communities

  • Urgent Care Clinic/Center
  • Fort Smith, AR
  • NPI 1134425721
  NPD (past)
• St. Edward Mercy Medical Center

  • Clinic/Center
  • Fort Smith, AR
  • NPI 1356309660
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1457544934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BROADWAY ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565830",
            "telephone_number": "479-474-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BROADWAY ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565830",
            "telephone_number": "479-474-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AR1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Culverson
• Doin Wayne Dahlke, ATC
• Ashley Ray Daney
• Theresa Dang
• Jayden Scott Darnell
• Ceth L Dawson, PA-C
• Dayspring Services of Arkansas LLC
• Jaunella Michele Dean, CPHT
• Delta Home Care LLC
• Dental Health Associates of Arkansas, P.a.

• Family Nurse Practitioner in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.