Active NPI
Amelia Marie Davis, RN
- Registered Nurse
- Blue Springs, MO
National Provider Identifier
1538322342
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2008006817
- Practice address
- 1307 NE Tara Cir
Blue Springs, MO 64014-1843 - Phone
- (816) 229-8308
- NPI assigned
- Jul 2, 2008
- Last updated
- Jul 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2008006817 | MO | Primary |
| Registered Nurse | 163W00000X | RTP-003571 | AR |
Addresses
Primary practice location
1307 NE Tara Cir
Blue Springs, MO 64014-1843
Mailing address
1307 NE Tara Cir
Blue Springs, MO 64014-1843
Phone (816) 223-5299
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTP-003571 | AR | MD | Registered Nurse |
| 2008006817 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1538322342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 NE TARA CIR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640141843",
"telephone_number": "816-223-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 NE TARA CIR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640141843",
"telephone_number": "816-229-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMELIA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2008006817",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "RTP-003571",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.