Dawn Renee' Davis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP132175 Issued in TX

Practice address

310 E Hoskins St
New Boston, TX 75570-2727

Phone

(903) 628-7877

Fax

(903) 628-7876

NPI assigned

Apr 21, 2017

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddavis233841@christushealth.direct-ci.net
• FHIR API: https://api.platform.athenahealth.com/7280/brand/1/csg/1/fhir/r4

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.

• Supracare Family Health PLLC

  • Primary Care Clinic/Center
  • New Boston, TX
  • NPI 1801234596
  Medicare reassignment NPD

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1790210219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E HOSKINS ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702727",
            "telephone_number": "903-628-7877",
            "fax_number": "903-628-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E HOSKINS ST",
            "city": "NEW BOSTON",
            "state": "TX",
            "postal_code": "755702727",
            "telephone_number": "903-628-7877",
            "fax_number": "903-628-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAWN",
        "middle_name": "RENEE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collom & Carney Clinic Association
• Letha H Colquitt, FNP
• Alecia Nicole Crook, M.S., CCC/SLP
• Tina Cunningham
• Brent Danley
• George Ashu Deba
• Debra K Reid (Debras)
• Donald Stratton Douglas, M.D.
• Larrice Michelle Dunn
• Mary Dutchover, FNP

• Family Nurse Practitioner in New Boston, TX
• Providers in New Boston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.