Individual provider Active NPI

Linda Lee Stuart-Davis, DNP, ANP-BC, CRNFA

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1962408799
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
259 Issued in AZ
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

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2172053OtherAZAETNA
29P78DAOtherAZCCS TPA/ BEECH STREET
417619OtherAZAZ STATE AHCCCS
7100018OtherAZAETNA
0199585MOtherAZCIGNA
1Z5355OtherAZHEALTHNET
AZ402269OtherAZLUTHERAN PPO
0166530OtherAZBLUE CROSS BLUE SHIELD
172358442720OtherAZHUMANA
54772OtherAZMAYO HEALTH PLAN
1061084283OtherAZHEALTHNET
500013338OtherAZMEDICARE RAILROAD

Other names 1

  • Linda Lee Davis Other name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN037791AZMDRegistered Nurse
441888CAMDRegistered Nurse
41706HIMDRegistered Nurse
259AZMDAdult Health Nurse Practitioner
APRN-1639HIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.