Jeanne Marie Davis, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

402347 Issued in NY

Practice address

2215 Burdett Ave
Troy, NY 12180-2466

Phone

(518) 271-3540

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jeanne Marie Gualtieri Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdavis98119@albanymed.direct-ci.com

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.

• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727

  Nurse Practitioner

  Medicare reassignment NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1629415740
  Medicare reassignment NPD
• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1518042357

  Nurse Practitioner

  Medicare reassignment NPD
• Jeanne Davis NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saratoga Springs, NY
  • NPI 1548092596
  NPD Authorized official
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Ballston Lake, NY
  • NPI 1437418795
  NPD
• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1619477171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "518-271-3540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Cobble Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "NY",
            "postal_code": "128312532",
            "country_code": "US",
            "telephone_number": "646-853-2747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Crescent Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128665142",
            "country_code": "US",
            "telephone_number": "518-584-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402347",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "402347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "GUALTIERI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary James Danforth, CASAC
• Abigail Danziger, MS ED
• Kristin Darby
• Brenna Davey, LMSW
• Eudoxie Atlee Davies, PNP, RN
• Christopher Lawrence De Graffenried Jr., PHARM D, MS
• Dirk Hendrik N. C. De Jong, LMSW
• Aurea De Los Santos, MSW
• Cindy Aleth Dean, MS SLP
• Renae S Deangelo, L.M.S.W.

• Nurse Practitioner in Troy, NY
• Providers in Troy, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.