Individual provider Active NPI

Alexander Jameson Davis, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenview, IL
National Provider Identifier
1891587358
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209032836 Issued in IL
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

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000711 IL Practitioner - Nurse Practitioner 6103322102 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
209032836ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Primary Care S.C. Current Accepting new patients
Urgent Medical Center SC CurrentSince Aug 15, 2025 Accepting new patients

Locations

2004 N Pulaski Rd
Chicago, IL 60639
Phone (773) 342-5923

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.