Individual provider Active NPI

Sierra Davis, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1538815964
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
002140 Issued in NY
Practice address
801 Ocean Ave Apt 9
Brooklyn, NY 11226-5948
Phone
(718) 654-2402
NPI assigned
Feb 24, 2022
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 002140 NY Primary

Addresses

Primary practice location

801 Ocean Ave Apt 9
Brooklyn, NY 11226-5948

Mailing address

801 Ocean Ave Apt 9
Brooklyn, NY 11226-5948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524000604 NY Practitioner - Certified Nurse Midwife (CNM) 9234595885 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
002140NYMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Barnabas OB GYN, PC CurrentSince Oct 23, 2023 Accepting new patients
Guirguis Obstetrics & Gynecology, PLLC CurrentSince Apr 15, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

464 77th St
Brooklyn, NY 11209
Phone (718) 680-8383

522 3rd St
Brooklyn, NY 11215
Phone (718) 768-8500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25913/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sierra.davis.1@22846.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1538815964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OCEAN AVE APT 9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OCEAN AVE APT 9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265948",
            "telephone_number": "718-654-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SIERRA",
        "name_prefix": "Dr.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.