Active NPI
Nancy R Davis, APRN,BC
- Family Nurse Practitioner
- St George, UT
National Provider Identifier
1821101288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1908224405
- Practice address
- 359 N 300 W
St George, UT 84770-2727 - Phone
- (435) 229-1560
- Fax
- (435) 487-1555
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1908224405 | UT | Primary |
Addresses
Primary practice location
359 N 300 W
St George, UT 84770-2727
Mailing address
359 N 300 W
St George, UT 84770-2727
Phone (435) 229-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1779 | Medicaid | UT |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1908224405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1821101288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 N 300 W",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702727",
"telephone_number": "435-229-1560",
"fax_number": "435-487-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 N 300 W",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847702727",
"telephone_number": "435-229-1560",
"fax_number": "435-487-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NANCY",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "APRN,BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "1908224405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D1779",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.