Individual provider Active NPI

Stevia Brigitte Davis, NP

  • Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1609356484
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95028301 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone
(650) 497-8000
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022450 OH
Nurse Practitioner 363L00000X 95028301 CA Primary

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Other practice location 1

648 Taylor Rd
Columbus, OH 43230-3202
Phone (614) 864-7225

Other practice location 2

1904 Bethel Rd
Columbus, OH 43220-1864
Phone (614) 451-1910

Other practice location 3

9039 Antares Ave Ste C
Columbus, OH 43240-4067
Phone (614) 847-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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
I20180907001484 OH Practitioner - Nurse Practitioner 3779833090 Reassigns benefits to 2 organizations
I20240304003182 CA Practitioner - Nurse Practitioner 3779833090 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022450OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile CurrentSince Jan 22, 2024 Accepting new patients
Central Ohio Nutrition Center, Inc Current Accepting new patients
Stanford Health Care Current Accepting new patients
Stanford Health Care CurrentSince Jan 22, 2024 Accepting new patients
Stanford Health Care CurrentSince Jan 22, 2024 Accepting new patients
Central Ohio Nutrition Center, Inc CurrentSince Aug 8, 2018 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
Central Ohio Nutrition Center CurrentSince Aug 8, 2018 Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

11100 Euclid Ave
Cleveland Heights, OH 44106

1904 Bethel Rd
Columbus, OH 43220
Phone (614) 451-1910

9039 Antares Ave
Ste C
Columbus, OH 43240
Phone (614) 847-6008

648 Taylor Rd
Gahanna, OH 43230
Phone (614) 864-7225

450 Alkyre Run
Ste 120
Westerville, OH 43082
Phone (614) 847-6008

Organizations & group practices 8

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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1609356484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432303202",
            "country_code": "US",
            "telephone_number": "614-864-7225",
            "fax_number": "614-626-8335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 Bethel Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432201864",
            "country_code": "US",
            "telephone_number": "614-451-1910",
            "fax_number": "614-451-1960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9039 Antares Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432404067",
            "country_code": "US",
            "telephone_number": "614-847-6008",
            "fax_number": "614-847-6022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STEVIA",
        "middle_name": "BRIGITTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022450",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.