Individual provider Active NPI

Amber Mariah Davis, FNP-C

  • Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1467164475
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
102723 Issued in WV
Practice address
265 Mill St Ste 100
Hagerstown, MD 21740-6170
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 102723 WV Primary

Addresses

Primary practice location

265 Mill St Ste 100
Hagerstown, MD 21740-6170

Mailing address

150 Westhall Dr
Charles Town, WV 25414-4804
Phone (304) 777-7594

Other practice location 1

120 Medical Park Dr
Bridgeport, WV 26330-9012
Phone (304) 777-7594

Other names 1

  • Amber Mariah Curry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD, DC, WA, AR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20230802003793 WV Practitioner - Nurse Practitioner 1557722832 Reassigns benefits to 2 organizations
I20230831002161 MD Practitioner - Nurse Practitioner 1557722832 Reassigns benefits to 2 organizations
I20231122002314 DC Practitioner - Nurse Practitioner 1557722832 Reassigns benefits to 1 organization
I20240108003631 WA Practitioner - Nurse Practitioner 1557722832 Reassigns benefits to 2 organizations
I20241114004399 AR Practitioner - Nurse Practitioner 1557722832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

265 Mill St
Suite 100
Hagerstown, MD 21740-6170
Phone 50957093022123

401 E Jefferson St
Suite 107
Rockville, MD 20850-2617
Phone (877) 522-1275

500 SW 7TH St
Suite A205
Renton, WA 98057-2983

5326 W Markham St
Little Rock, AR 72205-3528
Phone (877) 522-1275

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone 50957093022123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC Current Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 49)

907 SE Village Loop
Ste 3
Bentonville, AR 72712

1355 Dave Ward Dr
Ste 102
Conway, AR 72034
Phone (346) 907-4805

1100 Lexington Ave
Ste 400
Fort Smith, AR 72901

1820 Central Ave
Ste D
Hot Springs National Park, AR 71901
Phone (501) 463-4627

1432 Braden St
Jacksonville, AR 72076
Phone (501) 982-7460

3637 E Johnson Ave
#B
Jonesboro, AR 72405
Phone (870) 243-4406

5326 W Markham St
Little Rock, AR 72205
Phone (501) 603-9885

2711 W Kingshighway
Ste 10
Paragould, AR 72450

902 W Main St
Russellville, AR 72801

2521 Alma Hwy
Van Buren, AR 72956
Phone (479) 474-7448

516 N Rolling Rd
Ste 301
Catonsville, MD 21228
Phone (240) 791-6150

600 Virginia Ave
Ste 1
Cumberland, MD 21502

801 Toll House Ave
Ste F1
Frederick, MD 21701
Phone (240) 494-6884

201 Thomas Johnson Dr
Ste 104
Frederick, MD
Phone (301) 360-0776

265 Mill St
Ste 100
Hagerstown, MD 21740
Phone (301) 733-8293

401 E Jefferson St
Ste 107
Rockville, MD 20850
Phone (301) 309-6630

19 Fontana Ln
Ste 108
Rosedale, MD 21237
Phone (410) 574-4040

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

3800 Byron Ave
Ste 122
Bellingham, WA 98229

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

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.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1467164475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTHALL DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144804",
            "telephone_number": "304-777-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MILL ST STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406170",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309012",
            "country_code": "US",
            "telephone_number": "304-777-7594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMBER",
        "middle_name": "MARIAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "102723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "CURRY",
            "middle_name": "MARIAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.