Individual provider Active NPI

Lina G Davis, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1639626104
Registry record updated Dec 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9337840 Issued in FL
Practice address
2531 Cleveland Ave Ste 1
Fort Myers, FL 33901-4900
Phone
(239) 334-7000
Fax
(239) 334-7070
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2022

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 APRN9337840 FL
Nurse Practitioner 363L00000X ARNP9337840 FL Primary

Addresses

Primary practice location

2531 Cleveland Ave Ste 1
Fort Myers, FL 33901-4900

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3800

Other practice location 1

1342 Colonial Blvd Ste H57
Fort Myers, FL 33907-1009
Phone (239) 936-0758

Other identifiers 1

IdentifierTypeStateIssuer
018894900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20161019002950 FL Practitioner - Nurse Practitioner 1759679038 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9337840FLMDNurse Practitioner
APRN9337840FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of SW Florida, P.a. CurrentSince Sep 21, 2022 Accepting new patients
Orthopedic Specialists of SW Florida, P.a. Past Accepting new patients

Locations

2531 Cleveland Ave
Ste 1
Fort Myers, FL 33901
Phone (239) 334-7000

14601 Hope Center Loop
Fort Myers, FL 33912
Phone (239) 334-7000

Interoperability endpoints

  • Direct secure messaging: ldavis@osswf.emadirect.md
  • FHIR API: https://osswf.mmi.prod.fhir.ema-api.com/fhir/r4

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1639626104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 CLEVELAND AVE STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339014900",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1342 Colonial Blvd Ste H57",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071009",
            "country_code": "US",
            "telephone_number": "239-936-0758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINA",
        "middle_name": "G",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9337840",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9337840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018894900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.