Individual provider Active NPI

Eurydice E Davis, FNP-BC

  • Family Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1649791526
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.015468 Issued in IL
Practice address
10101 Renner Blvd
Lenexa, KS 66219-9752
Phone
(800) 873-8845
NPI assigned
Jun 30, 2017
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.015468 IL Primary

Addresses

Primary practice location

10101 Renner Blvd
Lenexa, KS 66219-9752

Mailing address

940 Marik Dr
Bellwood, IL 60104-2021
Phone (708) 692-1661

Other practice location 1

486 Randall Rd Unit B
South Elgin, IL 60177-3354
Phone (224) 783-5000

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address edavis288494@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20180402001792 IL Practitioner - Nurse Practitioner 9739441767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

486 Randall Rd
Unit B
South Elgin, IL 60177-3354
Phone (224) 783-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.015468ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Dec 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 1, 2023 Accepting new patients
Cep America - Illinois, LLP CurrentSince Mar 16, 2018 Accepting new patients
Cepamerica Illinois LLP CurrentSince Mar 16, 2018 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

486 Randall Rd
Unit B
South Elgin, IL 60177
Phone (224) 783-5000

Interoperability endpoints

  • Direct secure messaging: edavis288494@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1649791526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MARIK DR",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042021",
            "telephone_number": "708-692-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 RENNER BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662199752",
            "telephone_number": "800-873-8845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "486 Randall Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "South Elgin",
            "state": "IL",
            "postal_code": "601773354",
            "country_code": "US",
            "telephone_number": "224-783-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EURYDICE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "486 Randall Rd Unit B",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601773354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edavis288494@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "486 Randall Rd Unit B",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601773354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.