Active NPI
Taryrsha Davis, APN
- Nurse Practitioner
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.018789
- Practice address
- 17504 E Carriageway Dr
Hazel Crest, IL 60429-2087 - Phone
- (312) 636-3722
- Fax
- (773) 299-9299
- NPI assigned
- Jan 24, 2019
- Last updated
- Sep 22, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.023614 | IL | |
| Nurse Practitioner | 363L00000X | 209.018789 | IL | Primary |
Addresses
Primary practice location
17504 E Carriageway Dr
Hazel Crest, IL 60429-2087
Mailing address
17504 E Carriageway Dr
Hazel Crest, IL 60429-2087
Phone (312) 636-3722
Other names 1
- Ms. Taryrsha Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10714 S Roberts Rd
Palos Hills, IL 60465-2314
Phone (708) 631-1326
1190 Lily Cache LN
Apt 103
Bolingbrook, IL 60490-3284
Phone (630) 755-1695
1305 Remington Rd
Suite M
Schaumburg, IL 60173-4820
Phone (224) 938-9264
17901 Governors Hwy
Suite 206
Homewood, IL 60430-1146
Phone (708) 880-0559
343 N Wood Dale Rd
Suite 102
Wood Dale, IL 60191-1565
Phone (773) 299-9299
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.018789 | IL | MD | Nurse Practitioner |
| 209.023614 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Illinois | Nurse Practitioner | Current | Accepting new patients |
| Immediate Home Care Providers P C | Current | Accepting new patients | |
| New Southtown Medical Group S C | Current | Accepting new patients | |
| Immediate Home Care Physicians, Inc | Current | Accepting new patients | |
| Lutheran Social Services of Illinois | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Healing Hands Physicians, Inc. | Current | Accepting new patients | |
| Practitioner2Youllc | Current | Accepting new patients | |
| At Your Door Transportation LLC | Current | Accepting new patients | |
| Midwest Wound Care Incorporated | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Unity Hospice of Chicagoland LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| B&a Health Provider LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Chicagoland Infectious Disease PC | Current | Accepting new patients |
Locations
4840 W Byron St
Chicago, IL 60641
Phone (773) 282-7800
5215 N California Ave
Ste F101
Chicago, IL 60625
Phone (773) 561-5809
600 W Cermak Rd
Ste 3D
Chicago, IL 60616
Phone (312) 427-6000
8205 Cass Ave
Ste 110B
Darien, IL 60561
Phone (773) 840-4747
1001 E Touhy Ave
Ste 170
Des Plaines, IL 60018
Phone (847) 390-1422
17901 Governors Hwy
Ste 206
Homewood, IL 60430
Phone (708) 957-9100
10714 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 631-1326
1305 Remington Rd
Ste M
Schaumburg, IL 60173
Phone (224) 938-9264
4101 Main St
Skokie, IL 60076
Phone (312) 847-2458
430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757
343 N Wood Dale Rd
Wood Dale, IL 60191
Phone (773) 299-9299
343 N Wood Dale Rd
Ste 102
Wood Dale, IL 60191
Phone (773) 299-9299
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Interoperability endpoints
- taryrsha.davis.1@33292.direct.athenahealth.com
- taryrsha.davis.p1@direct.thmg.nextgenshare.com
Organizations & group practices 18
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1154901783
-
- Infectious Disease Physician
- South Holland, IL
- NPI 1780002352
-
- Home Health Agency
- Park Ridge, IL
- NPI 1275842502
-
- Family Medicine Physician
- Palos Hills, IL
- NPI 1134521917
-
- Family Medicine Physician
- Palos Hills, IL
- NPI 1124824560
-
- Internal Medicine Physician
- Bolingbrook, IL
- NPI 1538976873
-
- Family Medicine Physician
- Darien, IL
- NPI 1699377200
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063637684
Nurse Practitioner
-
- Family Medicine Physician
- Darien, IL
- NPI 1134508997
-
- Community Based Hospice Care Agency
- Chicago, IL
- NPI 1598844474
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
IL, Nurse Practitioner
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bolingbrook, IL
- NPI 1891434718
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Home Health Agency
- Bensenville, IL
- NPI 1588247381
-
- Home Health Agency
- Skokie, IL
- NPI 1114255759
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
- Home Health Agency
- Oak Lawn, IL
- NPI 1366651077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1821552761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17504 E CARRIAGEWAY DR",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292087",
"telephone_number": "312-636-3722",
"fax_number": "773-299-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17504 E CARRIAGEWAY DR",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292087",
"telephone_number": "312-636-3722",
"fax_number": "773-299-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TARYRSHA",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.023614",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209.018789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARYRSHA",
"last_name": "DAVIS",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.