VICTOR DAVIS NPI 1124494414

NPI Information

  • NPI: 1124494414
  • Provider Name: VICTOR DAVIS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 625 SNELLING AVE N STE A
    SAINT PAUL, MN
    ZIP 55104
  • Phone: (651) 363-3111

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NPI Details

Victor Davis is a family nurse practitioner in Saint Paul, MN with 9 years of experience. Victor Davis NPI is 1124494414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

625 SNELLING AVE N STE A
SAINT PAUL, MN
ZIP 55104-585
Phone: (651) 363-3111

The NPI 1124494414 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)

The enumeration date for this NPI number is 8/20/2015 and was last updated on 9/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerCNP 4761MINNESOTANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4761MINNESOTANo
3363LF0000XNurse PractitionerFamily4761MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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