Active NPI
Lauren Elka Davis, PA-C
- Physician Assistant
- Saint Louis, MO
National Provider Identifier
1922576941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2018040350
- Practice address
- 9701 Landmark Parkway Dr Ste 207
Saint Louis, MO 63127 - Phone
- (314) 849-8700
- NPI assigned
- Nov 7, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2018040350 | MO | Primary |
Addresses
Primary practice location
9701 Landmark Parkway Dr Ste 207
Saint Louis, MO 63127
Mailing address
7135 Amherst Ave # 1
University City, MO 63130-2311
Phone (314) 440-2858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Indiana University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9701 Landmark Pkwy Dr
Suite 207
Saint Louis, MO 63127-1665
Phone (314) 849-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018040350 | MO | MD | Physician Assistant |
Interoperability endpoints
- lauren.davis.p1@direct.aascare.nextgenshare.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541548800000",
"number": "1922576941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 AMHERST AVE # 1",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631302311",
"telephone_number": "314-440-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 LANDMARK PARKWAY DR STE 207",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63127",
"telephone_number": "314-849-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LAUREN",
"middle_name": "ELKA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2018-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2018040350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.