Organization Active NPI

Prestige Worldwide Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Waco, TX
National Provider Identifier
1679440952
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRESTIGE WORLDWIDE PSYCHIATRY
Practice address
3017 Silver Saddle Dr
Waco, TX 76706-6575
Phone
(254) 349-6008
NPI assigned
Oct 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Jason K Davis, PMHNP-BCNPI 1215756648
Title
Owner/Nurse Practitioner
Phone
(254) 349-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3017 Silver Saddle Dr
Waco, TX 76706-6575

Mailing address

3017 Silver Saddle Dr
Waco, TX 76706-6575
Phone (254) 349-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104000040 TX Part B Supplier - Clinic/Group Practice 4183114747 Receives reassigned benefits from 1 practitioner
Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1679440952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 SILVER SADDLE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767066575",
            "telephone_number": "254-349-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 SILVER SADDLE DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767066575",
            "telephone_number": "254-349-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE WORLDWIDE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "254-349-6008",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.