Individual provider Active NPI

Rana Davis, FNP-C

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1720499403
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-097280 Issued in AL
Practice address
429 S 3Rd St
Gadsden, AL 35901-5210
Phone
(256) 413-6000
Fax
(256) 414-6001
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-097280 AL Primary

Addresses

Primary practice location

429 S 3Rd St
Gadsden, AL 35901-5210

Mailing address

429 S 3Rd St
Gadsden, AL 35901-5210
Phone (256) 413-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rana.davis.2@1831.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160608002092 AL Practitioner - Nurse Practitioner 6800186586 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-097280ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Primary Care LLC CurrentSince Nov 1, 2021 Accepting new patients
Alpha Hospitalist Services CurrentSince May 1, 2016 Accepting new patients
Care Team Hospitalists LLP Past Accepting new patients
Alpha Wellness Center and Spa PastSince Jan 21, 2024 Accepting new patients

Locations

410 Broad St
Gadsden, AL 35901
Phone (256) 438-5107

525 S 3rd St
Ste D
Gadsden, AL 35901
Phone (256) 438-5107

525 S 3rd St
Gadsden, AL 35901
Phone (256) 438-5107

429 S 3rd St
Gadsden, AL 35901
Phone (256) 413-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25156/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rana.davis.1@25156.direct.athenahealth.com

Organizations & group practices 4

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1720499403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-413-6000",
            "fax_number": "145-413-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-413-6000",
            "fax_number": "256-414-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-097280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rana.davis.2@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "851 Goodyear Ave",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.