Individual provider Active NPI

Brianna Morgan Davies, APRN

  • Pediatric Nurse Practitioner
  • Oak Bluffs, MA
National Provider Identifier
1972265379
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2349072 Issued in MA
Practice address
14 Paddock Rd
Oak Bluffs, MA 02557-7132
Phone
(508) 939-0694
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN2349072 MA Primary

Addresses

Primary practice location

14 Paddock Rd
Oak Bluffs, MA 02557-7132

Mailing address

PO Box 1449
Edgartown, MA 02539-1449
Phone (508) 939-0694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208003104 MA Practitioner - Nurse Practitioner 3577912088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martha's Vineyard Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Martha's Vineyard Hospital Past Accepting new patients

Locations

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1972265379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025391449",
            "telephone_number": "508-939-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PADDOCK RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025577132",
            "telephone_number": "508-939-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "BRIANNA",
        "middle_name": "MORGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2349072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

Verify at the official NPI Registry.