Active NPI
Nathan Archie Davis
- Personal Care Attendant
- Fargo, ND
National Provider Identifier
1720780992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 5652 26TH St S Apt 113
Fargo, ND 58104-7729 - Phone
- (701) 367-3175
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
5652 26TH St S Apt 113
Fargo, ND 58104-7729
Mailing address
5652 26TH St S Apt 113
Fargo, ND 58104-7729
Phone (701) 367-3175
Other practice location 1
6706 71st Ave S
Horace, ND 58047-9573
Phone (701) 367-3175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1720780992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5652 26TH ST S APT 113",
"city": "FARGO",
"state": "ND",
"postal_code": "581047729",
"telephone_number": "701-367-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5652 26TH ST S APT 113",
"city": "FARGO",
"state": "ND",
"postal_code": "581047729",
"telephone_number": "701-367-3175"
}
],
"practiceLocations": [
{
"address_1": "6706 71st Ave S",
"address_purpose": "LOCATION",
"city": "Horace",
"state": "ND",
"postal_code": "580479573",
"country_code": "US",
"telephone_number": "701-367-3175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "NATHAN",
"middle_name": "ARCHIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.