Active NPI
Alexander Jameson Davis, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Glenview, IL
National Provider Identifier
1891587358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209032836
- Practice address
- 600 Naples CT Apt 510
Glenview, IL 60025-3865 - Phone
- (808) 724-0123
- NPI assigned
- May 20, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209032836 | IL | Primary |
Addresses
Primary practice location
600 Naples CT Apt 510
Glenview, IL 60025-3865
Mailing address
600 Naples CT Apt 510
Glenview, IL 60025-3865
Phone (808) 724-0123
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
600 Naples CT
Apt 510
Glenview, IL 60025-3865
600 Naples CT Apt
Suite 510
Glenview, IL 60025-3865
710 Shoreline Dr
Aurora, IL 60504-6192
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209032836 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Primary Care S.C. | Current | Accepting new patients | |
| Urgent Medical Center SC | Current | Accepting new patients |
Locations
2004 N Pulaski Rd
Chicago, IL 60639
Phone (773) 342-5923
Interoperability endpoints
- alexander.davis.1@7619.direct.athenahealth.com
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1578960282
-
- Adult Health Nurse Practitioner
- Chicago, IL
- NPI 1801261458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1891587358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NAPLES CT APT 510",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253865",
"telephone_number": "808-724-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NAPLES CT APT 510",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600253865",
"telephone_number": "808-724-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALEXANDER",
"middle_name": "JAMESON",
"credential": "MSN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209032836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.