Individual provider Active NPI

Cathy Davis, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1891152906
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP08615 Issued in LA
Practice address
2331 Carey St
Slidell, LA 70458-3627
Phone
(985) 646-6406
Fax
(985) 646-6460
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08615 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08615 LA Primary

Addresses

Primary practice location

2331 Carey St
Slidell, LA 70458-3627

Mailing address

2150 General Pershing St
Mandeville, LA 70448-5125
Phone (985) 781-6080

Other practice location 1

900 Wilkinson St
Mandeville, LA 70448-3533
Phone (985) 624-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20181115001748 LA Practitioner - Nurse Practitioner 9133473812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08615LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Parishes Human Services Authority CurrentSince Oct 1, 2018 Accepting new patients
Florida Parishes Human Services Authority CurrentSince Oct 1, 2018 Accepting new patients

Locations

835 Pride Dr
Ste B
Hammond, LA 70401
Phone (985) 543-4333

900 Wilkinson St
Mandeville, LA 70448
Phone (985) 624-4450

2331 Carey St
Slidell, LA 70458
Phone (985) 646-6406

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1891152906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 GENERAL PERSHING ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485125",
            "telephone_number": "985-781-6080",
            "fax_number": "985-867-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 CAREY ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583627",
            "telephone_number": "985-646-6406",
            "fax_number": "985-646-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Wilkinson St",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704483533",
            "country_code": "US",
            "telephone_number": "985-624-4450",
            "fax_number": "985-624-4461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CATHY",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08615",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.