LORETTA L. DAVIDSON N.P. NPI 1295952505

NPI Information

  • NPI: 1295952505
  • Provider Name: LORETTA L. DAVIDSON, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1222 TROTWOOD AVE
    SUITE 108
    COLUMBIA, TN
    ZIP 38401
  • Phone: (931) 540-4140

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NPI Details

Loretta L. Davidson, N.P. is a family nurse practitioner in Columbia, TN with 19 years of experience. Loretta L. Davidson, N.P. NPI is 1295952505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1222 TROTWOOD AVE
SUITE 108
COLUMBIA, TN
ZIP 38401-436
Phone: (931) 540-4140
Fax: (931) 540-4142

The NPI 1295952505 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 enumeration date for this NPI number is 4/19/2007 and was last updated on 4/6/2015.

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
1363LF0000XNurse PractitionerFamily132766TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13732438MEDICAIDTENNESSEE
24159493OTHERTENNESSEEBCBST
33341254MEDICARE PINTENNESSEE
43341254MEDICAIDTENNESSEE
53732438MEDICARE PINTENNESSEE
6DE2565MEDICARE PINTENNESSEE

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: 3/30/2025

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