Individual provider Active NPI

Angela Venetta Davis, FNP-C

  • Primary Care Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1992296768
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP11679 Issued in AZ
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

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X AP11679 AZ Primary
Family Nurse Practitioner 363LF0000X AP11679 AZ
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109000728 AZ Practitioner - Nurse Practitioner 4486990678 Reassigns benefits to 3 organizations

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
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians
Centerwell Senior Primary Care Az PCGroup PAC ID 9830576354, 47 clinicians

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 Hospital, Goodyear, AZ, CCN 030138

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
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

LicenseStateTypeSpecialty
AP11679AZMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Multi-Specialty CurrentSince Aug 22, 2022 Accepting new patients
City of Hope Medical Group of Arizona LLC Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
Centerwell Senior Primary Care Az PC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Multi-Specialty CurrentSince Dec 15, 2025 Accepting new patients
Centerwell Senior Primary Care Az PC Multi-Specialty Past Accepting new patients
Daisy Family Health Care Multi-Specialty PastSince Dec 17, 2023 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

  • Direct secure messaging: angie@daisyfamilyhealthcare.kareodirect.com
  • FHIR API: https://api.platform.athenahealth.com/22821/brand/1/csg/1/fhir/r4
  • Direct secure messaging: angela.davis.1@29601.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.