Active NPI
Nancy Anne Davis
- Registered Nurse
- Glenville, NY
National Provider Identifier
1912327867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 360769-1
- Practice address
- 907 Arrowhead Dr S
Glenville, NY 12302-3520 - Phone
- (518) 641-2765
- NPI assigned
- Apr 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 360769-1 | NY | Primary |
Addresses
Primary practice location
907 Arrowhead Dr S
Glenville, NY 12302-3520
Mailing address
907 Arrowhead Dr S
Glenville, NY 12302-3520
Phone (518) 641-2765
Other names 1
- Ms. Nancy Anne Novak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360769-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1912327867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 ARROWHEAD DR S",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123023520",
"telephone_number": "518-641-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 ARROWHEAD DR S",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123023520",
"telephone_number": "518-641-2765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NANCY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "360769-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "NOVAK",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glenville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.