Active NPI
Teresa F Davis, APRN-BC
- Family Nurse Practitioner
- Springfield, MO
National Provider Identifier
1922103019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 094561
- Practice address
- 1819 S National Ave
Springfield, MO 65804-2217 - Phone
- (417) 269-5437
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 094561 | MO | Primary |
Addresses
Primary practice location
1819 S National Ave
Springfield, MO 65804-2217
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 269-5712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE AVAILABLE | Other | MO | NONE AVAILABLE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094561 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Cherry Health Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- teresa.davis@cernerdirect.coxhealth.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.
-
- Physical Therapist
- Springfield, MO
- NPI 1770628620
-
- Family Medicine Physician
- Willow Springs, MO
- NPI 1417122326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1922103019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802843",
"telephone_number": "417-269-5712",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042217",
"telephone_number": "417-269-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TERESA",
"middle_name": "F",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "094561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE AVAILABLE",
"identifier": "NONE AVAILABLE",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.