Pascale Davis, APRN, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9178816 Issued in FL

Practice address

1900 N Bayshore Dr Ste 1a
Miami, FL 33132-3002

Phone

(888) 947-3888

NPI assigned

Feb 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Pascale Kidane Other name

Medicare fee-for-service enrollment

Enrolled in FL, MN2 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Miamipsych Concierge LLCGroup PAC ID 6709262496, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Miamipsych Concierge, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1700368107

  MN, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1649695560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR APT 4314",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323024",
            "telephone_number": "888-947-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR STE 1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323002",
            "telephone_number": "888-947-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841012174",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Encino Pl NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022611",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 NE 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977013894",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 S Lander St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981341901",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 14th St W",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591023150",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 S Water St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157301",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837025999",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 N Grant St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031626",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 W Union Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275163",
            "country_code": "US",
            "telephone_number": "888-947-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PASCALE",
        "credential": "APRN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "239634",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9178816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PASCALE",
            "last_name": "KIDANE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nickolas B Davis, PHD, LCSW, LICSW
• Olga Davis, MS, NCC
• Pamela Davis, LMT
• Pamela Gay Davis, A.R.N.P.
• Parker Ross Davis
• Patricia Gordon Davis, ISW
• Patrick Andrew Davis, M.S.
• Pledneashia Davis, CNA
• Regina Davis, MSW
• Ronald Prince Davis II, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.