Individual provider Active NPI

Deborah L Davidson, WHNP

  • Women's Health Nurse Practitioner
  • Malmstrom Afb, MT
National Provider Identifier
1710964010
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP 2835552 Issued in FL
Practice address
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Phone
(406) 731-3410
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP 2835552 FL Primary

Addresses

Primary practice location

7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701

Mailing address

7707 W Greenwood Rd
Spokane, WA 99224-9286
Phone (509) 247-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 2835552FLMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1710964010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 W GREENWOOD RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249286",
            "telephone_number": "509-247-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N PERIMETER RD",
            "city": "MALMSTROM AFB",
            "state": "MT",
            "postal_code": "594026701",
            "telephone_number": "406-731-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP 2835552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malmstrom Afb, MT

Sources for this page

Verify at the official NPI Registry.