Active NPI
Debbie Lynn Davis, FNP-C
- Family Nurse Practitioner
- Buckeye, AZ
National Provider Identifier
1457780306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5259
- Practice address
- 1209 N Miller Rd
Buckeye, AZ 85326-1043 - Phone
- (623) 386-5785
- Fax
- (623) 386-6673
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP5259 | AZ | Primary |
Addresses
Primary practice location
1209 N Miller Rd
Buckeye, AZ 85326-1043
Mailing address
1209 N Miller Rd
Buckeye, AZ 85326-1043
Phone (623) 386-5785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 981435 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1457780306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 N MILLER RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853261043",
"telephone_number": "623-386-5785",
"fax_number": "623-386-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 N MILLER RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853261043",
"telephone_number": "623-386-5785",
"fax_number": "623-386-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBBIE",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-01",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "981435",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.