Individual provider Active NPI

Laura Ann Davis

  • Family Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1558907006
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-157903 Issued in AL
Practice address
8000 Al Highway 69
Guntersville, AL 35976-7140
Phone
(256) 572-8102
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-157903 AL Primary

Addresses

Primary practice location

8000 Al Highway 69
Guntersville, AL 35976-7140

Mailing address

PO Box 731
Arab, AL 35016-0731
Phone (256) 200-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210423001896 AL Practitioner - Nurse Practitioner 8123436516 Reassigns benefits to 1 organization
I20220705002487 TX Practitioner - Nurse Practitioner 8123436516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-157903ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care TX PLLC CurrentSince May 16, 2022 Accepting new patients
Marshall Medical Center North CurrentSince Jan 1, 2022 Accepting new patients
QV Urgent Care TX PLLC CurrentSince May 16, 2022 Accepting new patients

Locations

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

Interoperability endpoints

  • Direct secure messaging: laura.davis.premierfamilycarearab@pfca.direct.systemedx.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1558907006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350160731",
            "telephone_number": "256-200-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 AL HIGHWAY 69",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359767140",
            "telephone_number": "256-572-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-157903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.