Beverly Anne Davis, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

076159 Issued in IA

Practice address

4821 SW 9TH St
Des Moines, IA 50315-3802

Phone

(515) 262-8471

Fax

(515) 266-9783

NPI assigned

Aug 20, 2007

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1689867004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153802",
            "telephone_number": "515-262-8471",
            "fax_number": "515-266-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153802",
            "telephone_number": "515-262-8471",
            "fax_number": "515-266-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BEVERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "076159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689867004",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristoffer T Davidson, DO
• McKenna Larae Davidson
• Crystal Lynn Davis-Yeboah, LMHC
• Amy Davis, MSW, LISW
• Barbara Jane Davis, PT/DPT
• Cynthia A Davis, LMHC,NCC,CCCJS
• Falycia Dawn Davis, LMSW
• Kathleen Carol Davis, FNP
• Logan Davis
• Mark Leroy Davis, OD

• Women's Health Nurse Practitioner in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Women's Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.