Adrienne Honora Clarice Davis, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11022109 Issued in FL

Practice address

13236 SW 278TH Ter
Homestead, FL 33032-8529

Phone

(786) 205-7759

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cross Functional Medical Care PAGroup PAC ID 1153760988, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cross Functional Medical Care PA

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1962277061

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Psychsync LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Homestead, FL
  • NPI 1528995586

  Single Specialty

  NPD Authorized official
• Moore Medical Group Inc

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1871117572

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1912624388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13236 SW 278TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328529",
            "telephone_number": "786-205-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13236 SW 278TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328529",
            "telephone_number": "786-205-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ADRIENNE",
        "middle_name": "HONORA CLARICE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11022109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Claudette Darrell
• Dauli GC Therapy Services Inc
• Iyana Davidson
• Davina Medical Care, P.a.
• Jennifer Allison Davis Polanco, OTR/L
• Deborahan F Davis, CNA
• Nicole Davis
• Dca Behavior Services Inc
• De and L Behavior Therapy LLC
• Rosalen De Armas Diaz

• Psychiatric/Mental Health Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.

Verify at the official NPI Registry.