Davina Carr, DNP, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61562142 Issued in WA

Practice address

518 E Clay Ave
Chewelah, WA 99109-8947

Phone

(509) 935-6004

NPI assigned

May 27, 2024

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 WA

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

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.

• New Health Programs Association

  • Federally Qualified Health Center (FQHC)
  • Chewelah, WA
  • NPI 1679537575
  Medicare reassignment NPD
• New Health Programs Association

  • Federally Qualified Health Center (FQHC)
  • Orient, WA
  • NPI 1386608560
  NPD
• New Health Programs Association

  • Federally Qualified Health Center (FQHC)
  • Newport, WA
  • NPI 1407530157
  NPD

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1811737117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17565 N SUNNYVALE DR",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990268305",
            "telephone_number": "208-514-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E CLAY AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098947",
            "telephone_number": "509-935-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "DAVINA",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61562142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Eunice Brock
• William B Brooks
• Ruth Brozik, LMP
• Vickie Ellen Campbell
• Charmaine Carido Sargent, APRN
• James F Carvalho, LMP
• Champion Family Chiropractic,
• John Robert Champion, D.C.
• Chewelah and Rural Ambulance Association
• Chewelah Associated Physicians

• Family Nurse Practitioner in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.