Individual provider Active NPI

Shareefah Marie Hamilton Davis, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1730730326
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11005230 Issued in FL
Practice address
2753 Citrus Tower Blvd
Clermont, FL 34711-6699
Phone
(352) 431-3940
Fax
(352) 431-3173
NPI assigned
Sep 25, 2019
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11005230 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X APRN11005230 FL

Addresses

Primary practice location

2753 Citrus Tower Blvd
Clermont, FL 34711-6699

Mailing address

104 E Dixie Ave
Leesburg, FL 34748-6350
Phone (352) 431-3940

Other practice location 1

9700 NW 18th Mnr
Plantation, FL 33322
Phone (954) 817-5236

Other practice location 2

9700 NW 18th Mnr
Plantation, FL 33322
Phone (954) 817-5236

Other practice location 3

5205 Village Blvd
West Palm Beach, FL 33407-7907
Phone (561) 821-7232

Other practice location 4

4900 S Ulster St Apt 8-109
Denver, CO 80237-2891
Phone (954) 817-5236

Other practice location 5

14221 E 4th Ave Ste 2-330
Aurora, CO 80011-8735
Phone (720) 507-4779

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
11005230FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synapse Neurological Care P.a. CurrentSince Jan 26, 2020 Accepting new patients
Woosah Wellness LLC Psychiatric/Mental Health Current Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health PastSince Sep 1, 2019 Accepting new patients

Locations

2753 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 404-7570

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1730730326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486350",
            "telephone_number": "352-431-3940",
            "fax_number": "352-431-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116699",
            "telephone_number": "352-431-3940",
            "fax_number": "352-431-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 NW 18th Mnr",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33322",
            "country_code": "US",
            "telephone_number": "954-817-5236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 NW 18th Mnr",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33322",
            "country_code": "US",
            "telephone_number": "954-817-5236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5205 Village Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334077907",
            "country_code": "US",
            "telephone_number": "561-821-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 S Ulster St Apt 8-109",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802372891",
            "country_code": "US",
            "telephone_number": "954-817-5236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 E 4th Ave Ste 2-330",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON DAVIS",
        "first_name": "SHAREEFAH",
        "middle_name": "MARIE",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11005230",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11005230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.