Active NPI
Heidi Alicia Davis, APRN, FNP-C
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1790223451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31007
- Practice address
- 9217 Park West Blvd Ste C2
Knoxville, TN 37923-4419 - Phone
- (865) 862-4575
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31007 | TN | Primary |
Addresses
Primary practice location
9217 Park West Blvd Ste C2
Knoxville, TN 37923-4419
Mailing address
9217 Park West Blvd Ste C2
Knoxville, TN 37923-4419
Phone (865) 862-4575
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31007 | TN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1790223451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9217 PARK WEST BLVD STE C2",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234419",
"telephone_number": "865-862-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9217 PARK WEST BLVD STE C2",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234419",
"telephone_number": "865-862-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HEIDI",
"middle_name": "ALICIA",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "31007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.