Individual provider Active NPI

Patricia Lynne Davis, RN

  • Registered Nurse
  • Omaha, NE
National Provider Identifier
1578055786
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
42073 Issued in NE
Practice address
Westside Community Schools
909 South 76 Street
Omaha, NE 68114-4599
Phone
(402) 390-2100
Fax
(402) 390-2136
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 42073 NE Primary

Addresses

Primary practice location

Westside Community Schools
909 South 76 Street
Omaha, NE 68114-4599

Mailing address

909 S 76TH St
Omaha, NE 68114-4519
Phone (402) 390-2100

Other names 1

  • Ms. Pat Davis Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
42073NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maxwell Past Accepting new patients
Westside Community Schools PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 2

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1578055786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S 76TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144519",
            "telephone_number": "402-390-2100",
            "fax_number": "402-390-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTSIDE COMMUNITY SCHOOLS",
            "address_2": "909 SOUTH 76 STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144599",
            "telephone_number": "402-390-2100",
            "fax_number": "402-390-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PATRICIA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "42073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAT",
            "last_name": "DAVIS",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.