Individual provider Active NPI

Ashley Nicole Davis, NP-C

  • Family Nurse Practitioner
  • Renton, WA
National Provider Identifier
1902422918
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61082459 Issued in WA
Practice address
707 S Grady Way Ste 600
Renton, WA 98057-3227
Phone
(206) 823-1004
Fax
(206) 309-3319
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 61082459 WA Primary

Addresses

Primary practice location

707 S Grady Way Ste 600
Renton, WA 98057-3227

Mailing address

3454 S Farm Road 61
Republic, MO 65738-2723
Phone (417) 371-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200817000259 WA Practitioner - Nurse Practitioner 3971929357 Reassigns benefits to 2 organizations
I20211216002359 OR Practitioner - Nurse Practitioner 3971929357 Reassigns benefits to 1 organization
I20240127000611 NM Practitioner - Nurse Practitioner 3971929357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111-6022
Phone (206) 823-1004

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (206) 823-1004

5821 188TH St SW
Lynnwood, WA 98037-4304
Phone (505) 413-3719

75 Shore Dr
Saint Helens, OR 97051-1125
Phone (206) 823-1004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61082459WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Healthcare Family CurrentSince Feb 14, 2024 Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

5821 188th St SW
Lynnwood, WA 98037
Phone (425) 776-5512

7683 SE 27th St
Mercer Island, WA 98040
Phone (206) 228-8530

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1902422918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 S FARM ROAD 61",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657382723",
            "telephone_number": "417-371-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573227",
            "telephone_number": "206-823-1004",
            "fax_number": "206-309-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61082459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.