Sarah Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

115465 Issued in NE

Practice address

4905 S 107TH Ave Ste 200
Omaha, NE 68127-1940

Phone

(402) 243-1526

Fax

(877) 684-6190

NPI assigned

Jul 3, 2024

Last updated

Aug 5, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Nurse Practitioner

Education

University of Nebraska College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pride Health Clinic LLCGroup PAC ID 1153792478, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pride Health Clinic LLC

  dba Pride Care For All LLC

  • Women's Health Nurse Practitioner
  • Omaha, NE
  • NPI 1184332918
  Medicare reassignment Care Compare group NPD
• Muc-Papillion LLC

  dba Midlands Family Urgent Care

  • Urgent Care Clinic/Center
  • Papillion, NE
  • NPI 1841159944
  NPD (past)

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1578309019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271940",
            "telephone_number": "402-243-1526",
            "fax_number": "866-684-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 S 107TH AVE STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271940",
            "telephone_number": "402-243-1526",
            "fax_number": "877-684-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SARAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Davis
• Robyn Lee Davis
• Rylie Anne Davis
• Saliyah Deonnajoy Davis
• Samone Davis
• Savannah Davis Davis
• Serena Davis, PMHNP
• Shakeima Davis
• Shakiara Tavonne Davis, CNA
• Shakietra Davis

• Family Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.