Active NPI
Johnna Stotts Davis, MSN, FNP-BC
- Family Nurse Practitioner
- Lampasas, TX
National Provider Identifier
1528367703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 754505
- Practice address
- 187 Private Road 4060
Lampasas, TX 76550-4071 - Phone
- (512) 556-3621
- NPI assigned
- Mar 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 754505 | TX | Primary |
Addresses
Primary practice location
187 Private Road 4060
Lampasas, TX 76550-4071
Mailing address
187 PR 4060
Lampasas, TX 76550
Phone (512) 556-3621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 754505 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- johnna.stottsdavis.1@11541.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1528367703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 PR 4060",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "76550",
"telephone_number": "512-556-3621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 PRIVATE ROAD 4060",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "765504071",
"telephone_number": "512-556-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOHNNA",
"middle_name": "STOTTS",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "754505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lampasas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.