Amanda Sue Davis-Houchen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002711A Issued in IN

Practice address

1036 Sharon Dr
Jeffersonville, IN 47130-4522

Phone

(812) 280-6606

Fax

(812) 280-6608

NPI assigned

Jun 22, 2009

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

Other names 1

• Amanda Sue Davis Former name

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1851489942
  Medicare reassignment NPD
• Lifespring, Inc

  • Community/Behavioral Health Agency
  • Dale, IN
  • NPI 1639029283
  NPD
• Lifespring Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, IN
  • NPI 1568907673
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1538396155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SHARON DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304522",
            "telephone_number": "812-280-6606",
            "fax_number": "812-280-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SHARON DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304522",
            "telephone_number": "812-280-6606",
            "fax_number": "812-280-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-HOUCHEN",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DAVIS",
            "middle_name": "SUE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roshell Dione Davidson- Voegborlo
• Crystal N Davidson, RDH
• Melissa B Davidson
• Olivia Davidson, RBT
• William Ashton Davidson, MD
• Jacqueline Davis, APRN
• Kathryn M Davis, ARNP
• Levois Davis
• Troy A Davis, M.D.
• Christopher J. Day, M.D.

• Family Nurse Practitioner in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.

Verify at the official NPI Registry.