Active NPI
Angela Venetta Davis, FNP-C
- Primary Care Nurse Practitioner
- Sun City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP11679
- Practice address
- 14813 N del Webb Blvd
Sun City, AZ 85351-2145 - Phone
- (602) 834-5435
- Fax
- (888) 830-1610
- NPI assigned
- May 28, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP11679 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | AP11679 | AZ | |
| Community Health Nurse Practitioner | 363LC1500X | AP11679 | AZ |
Addresses
Primary practice location
14813 N del Webb Blvd
Sun City, AZ 85351-2145
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other practice location 1
15655 W Roosevelt St Ste 214
Goodyear, AZ 85338-9306
Phone (602) 344-9737
Other practice location 2
4494 W Peoria Ave Ste 115A
Glendale, AZ 85302-2020
Phone (602) 344-9737
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | angela.davis.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
14813 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (602) 834-5435
Hospital & facility affiliations
- City of Hope Cancer Center Phoenix
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11679 | AZ | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group Arizona LLC | Multi-Specialty | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Multi-Specialty | Current | Accepting new patients |
| Centerwell Senior Primary Care Az PC | Multi-Specialty | Current | Accepting new patients |
| Centerwell Senior Primary Care Az PC | Multi-Specialty | Current | Accepting new patients |
| Centerwell Senior Primary Care Az PC | Multi-Specialty | Past | Accepting new patients |
| Daisy Family Health Care | Multi-Specialty | Past | Accepting new patients |
Locations
5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599
387 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 215-1046
6544 W Thomas Rd
Ste 11
Phoenix, AZ 85033
Phone (602) 834-5515
3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701
14813 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 834-5435
14780 W Mountain View Blvd
Ste 110
Surprise, AZ 85374
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Interoperability endpoints
- angie@daisyfamilyhealthcare.kareodirect.com
- https://api.platform.athenahealth.com/22821/brand/1/csg/1/fhir/r4
- angela.davis.1@29601.direct.athenahealth.com
- adavis181167@cityofhope.direct-ci.com
Organizations & group practices 7
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
Multi-Specialty
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1073260352
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
Multi-Specialty
-
- Primary Care Nurse Practitioner
- Glendale, AZ
- NPI 1750157483
Multi-Specialty
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1326795675
Multi-Specialty
-
- Internal Medicine Physician
- Surprise, AZ
- NPI 1699582106
Multi-Specialty
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1497401830
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1992296768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14813 N DEL WEBB BLVD",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853512145",
"telephone_number": "602-834-5435",
"fax_number": "888-830-1610"
}
],
"practiceLocations": [
{
"address_1": "15655 W Roosevelt St Ste 214",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853389306",
"country_code": "US",
"telephone_number": "602-344-9737",
"fax_number": "888-587-2701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4494 W Peoria Ave Ste 115A",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853022020",
"country_code": "US",
"telephone_number": "602-344-9737",
"fax_number": "888-587-7201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ANGELA",
"middle_name": "VENETTA",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-28",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "AP11679",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11679",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": "AZ",
"license": "AP11679",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "angela.davis.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "14813 N Del Webb Blvd",
"city": "Sun City",
"state": "AZ",
"country_code": "US",
"postal_code": "853512145",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.