Individual provider Active NPI

Sydney Leigh Davis

  • Family Nurse Practitioner
  • Whitesboro, TX
National Provider Identifier
1659150498
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1137251 Issued in TX
Practice address
304 Charlie Dr
Whitesboro, TX 76273-1103
Phone
(903) 564-3503
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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 1137251 TX Primary

Addresses

Primary practice location

304 Charlie Dr
Whitesboro, TX 76273-1103

Mailing address

304 Charlie Dr
Whitesboro, TX 76273-1103
Phone (903) 564-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231012002223 TX Practitioner - Nurse Practitioner 2365897253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whitesboro Family Medical Clinic LLCGroup PAC ID 1254742398, 3 clinicians

Practice addresses (Care Compare)

304 Charlie Dr
Whitesboro, TX 76273-1103
Phone (903) 564-3503

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1137251TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitesboro Family Medical Clinic LLC CurrentSince Oct 1, 2023 Accepting new patients
Muenster Family Medical Clinic, LLC Family CurrentSince May 1, 2024 Accepting new patients

Locations

134 S Mesquite St
Muenster, TX 76252
Phone (940) 687-7588

304 Charlie Dr
Whitesboro, TX 76273
Phone (903) 564-3216

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.

Hospital & facility affiliations 1

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1659150498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHARLIE DR",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731103",
            "telephone_number": "903-564-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHARLIE DR",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762731103",
            "telephone_number": "903-564-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SYDNEY",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1137251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, TX

Sources for this page

Verify at the official NPI Registry.