Amber Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144710 Issued in TX

Practice address

2110 S John Redditt Dr Ste D
Lufkin, TX 75904-5488

Phone

(936) 209-4660

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: amberdavis@tchfamilym.allscriptsdirect.net

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.

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment Care Compare group NPD
• Tyler County Hospital District

  • General Acute Care Hospital
  • Woodville, TX
  • NPI 1447259627
  Medicare reassignment
• Tyler County Hospital District

  dba TCH Family Medical Clinic

  • General Practice Physician
  • Woodville, TX
  • NPI 1285631945
  NPD
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039
  NPD (past)
• Get Well Healthcare Services

  dba Get Well Clinic

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1447774708
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1659904712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 S JOHN REDDITT DR STE D",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045488",
            "telephone_number": "936-209-4660",
            "fax_number": "936-209-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 S JOHN REDDITT DR STE D",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045488",
            "telephone_number": "936-209-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMBER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AP144710",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gracefamilywellness@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "303 E Denman Ave Ste A",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759014090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David J. Bailey, M.D., PA
• David T. Price, MD, PA
• David W. Glenn M.D. PA
• Jane C Davidson, NP
• Amanda Larue Davis, RN
• Bethany Arial Davis, LVN
• Jimmie Lee Davis Jr.
• Nancy J Davis, LMFT, BCN
• Penny Elise Davis
• Allison Nicole Day, DDS

• Family Nurse Practitioner in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.