Abigail M Davis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704313350 Issued in MI

Practice address

G3494 Beecher Rd
Flint, MI 48532-2735

Phone

(810) 309-9734

Fax

(810) 768-1171

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abigail.davis.1@15403.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15403/brand/1/csg/1/fhir/r4

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.

• Lapeer Community Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Lapeer, MI
  • NPI 1336536655
  Medicare reassignment NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1992462501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 ARROW HEAD DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484468032",
            "telephone_number": "810-441-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3494 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322735",
            "telephone_number": "810-309-9734",
            "fax_number": "810-768-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Kearsley St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021907",
            "country_code": "US",
            "telephone_number": "810-762-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ABIGAIL",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704313350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paishann Davie
• Constance L Davies
• Hannah Rose Davies
• Tracy E Davies, DDS
• Lekeisha Davis-Blair
• Alexandria Davis
• Angela Davis
• Brittany Davis
• Charles Davis, R.PH.
• Dequanda Lashawn Davis, MA, LPC, CRC

• Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.