Active NPI
Megan Daly Davis, CRNP
- Pediatric Nurse Practitioner
- Hoover, AL
National Provider Identifier
1922486653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-137131
- Practice address
- 5356 Stadium Trace Pkwy
Suite 200
Hoover, AL 35244-5607 - Phone
- (205) 985-9424
- Fax
- (205) 985-9465
- NPI assigned
- May 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-137131 | AL | Primary |
| Nurse Practitioner | 363L00000X | 1-137131 | AL |
Addresses
Primary practice location
5356 Stadium Trace Pkwy
Suite 200
Hoover, AL 35244-5607
Mailing address
5356 Stadium Trace Pkwy
Suite 200
Hoover, AL 35244-5607
Phone (205) 985-9424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182583 | Medicaid | AL |
Other names 1
- Megan Alyssa Daly
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 |
|---|---|---|---|
| 1-137131 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Trace Pediatrics, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Hoover, AL
- NPI 1437207743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1922486653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5356 STADIUM TRACE PKWY",
"address_2": "SUITE 200",
"city": "HOOVER",
"state": "AL",
"postal_code": "352445607",
"telephone_number": "205-985-9424",
"fax_number": "205-985-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5356 STADIUM TRACE PKWY",
"address_2": "SUITE 200",
"city": "HOOVER",
"state": "AL",
"postal_code": "352445607",
"telephone_number": "205-985-9424",
"fax_number": "205-985-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MEGAN",
"middle_name": "DALY",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-137131",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-137131",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182583",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "DALY",
"middle_name": "ALYSSA",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.