Stacy L. Davidson, FNP-BC PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3548 Issued in AZ

Legal business name

STACY L. DAVIDSON, FNP-BC PC

Practice address

2155 Shelby Dr
Suite C
Sedona, AZ 86336-5476

Phone

(928) 254-3676

NPI assigned

Feb 27, 2012

Last updated

Feb 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Layton Davidson, NPNPI 1992037790

Title

Owner

Phone

(928) 301-6144

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Layton Davidson, F.N.P.

  • Family Nurse Practitioner
  • Sedona, AZ
  • NPI 1992037790
  Authorized official Same address or phone

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1669746467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 SHELBY DR",
            "address_2": "SUITE C",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365476",
            "telephone_number": "928-254-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 SHELBY DR",
            "address_2": "SUITE C",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365476",
            "telephone_number": "928-254-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY L. DAVIDSON, FNP-BC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-301-6144",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lynne Spotted Elk, LPC
• SSC - Sedona Surgery Center
• Kelly Cahill St Clair, BSN, RN
• Krista K St James, LSW
• Raegan Adair St. Denis, DMD
• Nicole M Stavale, PT
• Stephen C. Gill, PHD, PLLC
• Bethanie Anne Stevenson, MFT
• Jo Stone-Carmen, PHD, MFT
• Susan Marie Stratton, N.D.

• Family Nurse Practitioner in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.