Individual provider Active NPI

Wendy Nelson Davis, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1689387573
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285559 Issued in AZ
Practice address
3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319
Phone
(480) 608-0058
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 285559 AZ Primary

Addresses

Primary practice location

3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319

Mailing address

4660 S Griffith Way
Gilbert, AZ 85297-8267
Phone (480) 608-0058

Other practice location 1

6470 S Higley Rd
Gilbert, AZ 85298-4341
Phone (480) 809-2409

Other practice location 2

3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319
Phone (480) 695-2340

Other identifiers 1

IdentifierTypeStateIssuer
285559OtherAZNURSE PRACTITIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230412001551 AZ Practitioner - Nurse Practitioner 6406179241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoe Health Group LLCGroup PAC ID 2062887607, 2 clinicians

Practice addresses (Care Compare)

3530 S Val Vista Dr
Suite A111
Gilbert, AZ 85297-7319
Phone (480) 608-0058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince May 1, 2023 Accepting new patients
Canyon Family Medicine PLLC CurrentSince May 25, 2024 Accepting new patients
Zoe Health Group LLC CurrentSince Mar 28, 2023 Accepting new patients
Neuro Rehab Connection Current Accepting new patients

Locations

3530 S Val Vista Dr
Ste A111
Gilbert, AZ 85297
Phone (480) 219-7810

6470 S Higley Rd
Gilbert, AZ 85298
Phone (480) 809-2409

6242 E Arbor Ave
Ste 118
Mesa, AZ 85206
Phone (480) 834-3907

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

155 W Combs Rd
San Tan Vly, AZ 85140
Phone (480) 474-6601

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 4

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1689387573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S GRIFFITH WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978267",
            "telephone_number": "480-608-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE A111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977319",
            "telephone_number": "480-608-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6470 S Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852984341",
            "country_code": "US",
            "telephone_number": "480-809-2409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 S Val Vista Dr Ste A111",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977319",
            "country_code": "US",
            "telephone_number": "480-695-2340",
            "fax_number": "951-266-5759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WENDY",
        "middle_name": "NELSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "285559",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.