Individual provider Active NPI

Courtney Lenora Davis, MSN, APRN,PMHNP-BC,

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1649994500
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193930 Issued in VA
Practice address
1206 Laskin Rd Ste 201G
Virginia Beach, VA 23451-5263
Phone
(757) 780-8153
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 001267208 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024193930 VA Primary

Addresses

Primary practice location

1206 Laskin Rd Ste 201G
Virginia Beach, VA 23451-5263

Mailing address

1206 Laskin Rd Ste 201G
Virginia Beach, VA 23451-5263
Phone (757) 780-8153

Other practice location 1

2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500
Phone (757) 430-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
001267208VAMDPsychiatric/Mental Health Registered Nurse
0024193930VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Neurofeedback CurrentSince Aug 17, 2025 Accepting new patients
Fearless Care LLC PastSince Feb 1, 2022 Accepting new patients

Locations

1206 Laskin Rd
Ste 201G
Virginia Beach, VA 23451
Phone (214) 354-8153

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20591/brand/1/csg/1/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1649994500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 201G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515263",
            "telephone_number": "757-780-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 LASKIN RD STE 201G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515263",
            "telephone_number": "757-780-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Seaboard Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234563500",
            "country_code": "US",
            "telephone_number": "757-430-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "LENORA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN,PMHNP-BC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "001267208",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.