Amanda Kate Davis, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Omak, WA
NPI 1700619764 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1700619764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP61593396 (WA)
- Practice address
- 916 Koala Dr
Omak, WA 98841-9759 - Phone
- (509) 662-1511
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers
Practice addresses (Care Compare)
1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210004896 | WA | Practitioner - Nurse Practitioner | 5991231227 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61593396 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers | Current |
Accepting new patients | |
| Family Health Centers | Current |
Accepting new patients | |
| Family Health Centers | Current | Accepting new patients |
Locations
1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913
Interoperability endpoints
- amanda.davis.1@19043.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61593396 | WA | Yes |
Addresses
Primary practice location
916 Koala Dr
Omak, WA 98841-9759
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/ |
Other providers in Omak, WA
- Masyn Elizabeth Ann Culp
- Alexa Deann Czmowski
- Danielle Lowary Occupational Therapy LLC
- Kellie Davies
- Thomas J Davies
- Nicole Davis
- Lauri Davisson
- Bryce A Demmitt
- Dena Byl
- Benjamin Theodore Descoteaux
All providers in Omak, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.