Angela Davis, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN09058400 Issued in NJ

Practice address

1001 Lincoln Dr W
Marlton, NJ 08053-1534

Phone

(856) 983-9001

NPI assigned

Apr 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Angela Davis, RN, MSN, Pmhnp-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lumberton, NJ
  • NPI 1801553243
  NPD Authorized official
• Legacy Treatment Services Inc

  • Community/Behavioral Health Agency
  • Hainesport, NJ
  • NPI 1730594656
  NPD
• Fox Chase Pain Management Associates, PC

  • Specialist
  • Trevose, PA
  • NPI 1881649416
  NPD (past)

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1740523919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531534",
            "telephone_number": "856-983-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LINCOLN DR W",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531534",
            "telephone_number": "856-983-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09058400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam David, D.P.T.
• Margaret David
• Steven Davidoff, MD
• Davis Physical Therapy & Sports Rehab
• Andrea Johnson Davis, DPT
• Denise Amies Davis, LCSW
• Monique Ruth Day, APN
• DB Internal & Sports Medicine LLC
• DBT of South Jersey, LLC
• Ronaldo Cruz De Guzman, D.O.

• Adult Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.