Individual provider Active NPI

Angela Sue Davis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1700696754
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28131991A Issued in IN
Practice address
185 Hospital LN
Terre Haute, IN 47802-4247
Phone
(812) 841-9688
Fax
(812) 605-5013
NPI assigned
Jan 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28131991A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28131991A IN Primary

Addresses

Primary practice location

185 Hospital LN
Terre Haute, IN 47802-4247

Mailing address

185 Hospital LN
Terre Haute, IN 47802-4247
Phone (812) 243-9954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250402001576 IN Practitioner - Nurse Practitioner 1951824721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Pathways LLCGroup PAC ID 4082084025, 11 clinicians

Practice addresses (Care Compare)

185 Hospital LN
Terre Haute, IN 47802-4247
Phone (812) 243-9954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28131991AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Mobile MD Psychiatric Services LLC CurrentSince Feb 3, 2025 Accepting new patients
Counseling Pathways LLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

185 Hospital Ln
Terre Haute, IN 47802
Phone (812) 243-2507

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1700696754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HOSPITAL LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024247",
            "telephone_number": "812-243-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HOSPITAL LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024247",
            "telephone_number": "812-841-9688",
            "fax_number": "812-605-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28131991A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28131991A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.