Mary L Davis, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN2835352 Issued in FL

Practice address

831 Simpson Rd
Kissimmee, FL 34744-5328

Phone

(407) 483-5757

Fax

(855) 342-2122

NPI assigned

May 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Mary Lynn Inman Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.davis.p1@direct.bondclinicpa.nextgenshare.com

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.

• Adventist Health System-Sunbelt Inc

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Medicare reassignment NPD
• Adventist Health System-Sunbelt Inc

  • Family Medicine Physician
  • Wauchula, FL
  • NPI 1578725941
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Wauchula, FL
  • NPI 1780650879
  Medicare reassignment NPD
• Adventist Health System-Sunbelt Inc

  • Rural Health Clinic/Center
  • Wauchula, FL
  • NPI 1396046637
  NPD
• Adventist Health System-Sunbelt Inc

  • Rural Health Clinic/Center
  • Avon Park, FL
  • NPI 1881850956
  NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Peopleone Health Medical Group PA

  • Family Medicine Physician
  • Oakmont, PA
  • NPI 1598507964
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1699187591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "855-342-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "855-342-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "FL",
            "license": "PMD16083",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN2835352",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2835352",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2835352",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "APRN2835352",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "FL",
            "license": "ARNP2835352",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN2835352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "INMAN",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Davies, M.S. CCC-SLP
• Nayda Ivelisse Davila Fuentes, SLPA
• Grace Davila, MSW
• Luis Eduardo Davila, M.A
• Lenora Seed Davis, MSW, LCSW
• Risa Davis, MS. ED. PSY
• Samuel Davis
• Sandra Goodrich Davis, LMHC
• Tiesha Davis
• Transia Dawson, RBT

• Gerontology Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.