Active NPI
Linda Lee Stuart-Davis, DNP, ANP-BC, CRNFA
- Adult Health Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1962408799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 259
- Practice address
- 10335 N Scottsdale Rd Ste F
Scottsdale, AZ 85253-1435 - Phone
- (480) 650-6804
- Fax
- (480) 948-8344
- NPI assigned
- Jun 27, 2005
- Reactivated
- Apr 4, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 441888 | CA | |
| Registered Nurse | 163W00000X | 41706 | HI | |
| Registered Nurse | 163W00000X | RN037791 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN-1639 | HI | |
| Adult Health Nurse Practitioner | 363LA2200X | 259 | AZ | Primary |
Addresses
Primary practice location
10335 N Scottsdale Rd Ste F
Scottsdale, AZ 85253-1435
Mailing address
6616 E Palo Verde LN
Paradise Valley, AZ 85253-5949
Phone (480) 650-6804
Other practice location 1
7904 E Chaparral Rd
Ste A110, # 440
Scottsdale, AZ 85250-7210
Phone (480) 948-9099
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2172053 | Other | AZ | AETNA |
| 29P78DA | Other | AZ | CCS TPA/ BEECH STREET |
| 417619 | Other | AZ | AZ STATE AHCCCS |
| 7100018 | Other | AZ | AETNA |
| 0199585M | Other | AZ | CIGNA |
| 1Z5355 | Other | AZ | HEALTHNET |
| AZ402269 | Other | AZ | LUTHERAN PPO |
| 0166530 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 172358442720 | Other | AZ | HUMANA |
| 54772 | Other | AZ | MAYO HEALTH PLAN |
| 1061084283 | Other | AZ | HEALTHNET |
| 500013338 | Other | AZ | MEDICARE RAILROAD |
Other names 1
- Linda Lee Davis
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN037791 | AZ | MD | Registered Nurse |
| 441888 | CA | MD | Registered Nurse |
| 41706 | HI | MD | Registered Nurse |
| 259 | AZ | MD | Adult Health Nurse Practitioner |
| APRN-1639 | HI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sjhmc Physician Services | 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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1962408799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6616 E PALO VERDE LN",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852535949",
"telephone_number": "480-650-6804",
"fax_number": "480-948-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10335 N SCOTTSDALE RD STE F",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852531435",
"telephone_number": "480-650-6804",
"fax_number": "480-948-8344"
}
],
"practiceLocations": [
{
"address_1": "7904 E Chaparral Rd",
"address_2": "STE A110, # 440",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852507210",
"country_code": "US",
"telephone_number": "480-948-9099",
"fax_number": "480-948-8344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUART-DAVIS",
"first_name": "LINDA",
"middle_name": "LEE",
"credential": "DNP, ANP-BC, CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "441888",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "41706",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN037791",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "HI",
"license": "APRN-1639",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "259",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2172053",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCS TPA/ BEECH STREET",
"identifier": "29P78DA",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE AHCCCS",
"identifier": "417619",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7100018",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0199585M",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z5355",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LUTHERAN PPO",
"identifier": "AZ402269",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0166530",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "172358442720",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAYO HEALTH PLAN",
"identifier": "54772",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1061084283",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "500013338",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "DAVIS",
"middle_name": "LEE",
"credential": "DNP, ANP-BC, CRNFA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.