SHANNON REA DAVIS NP-C PMHNP NPI 1508261702

NPI Information

NPI: 1508261702
Provider Name: SHANNON REA DAVIS, NP-C , PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
17051 MERCY DR STE 204
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 696-0096
Get Directions

Shannon Rea Davis, NP-C , PMHNP is a psychiatric/mental health nurse practitioner in Eagle River, AK with 7 years of experience. Shannon Rea Davis, NP-C , PMHNP NPI is 1508261702. 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:

17051 MERCY DR STE 204
EAGLE RIVER, AK
ZIP 99577-630
Phone: (907) 696-0096
Fax: (949) 577-4808

The NPI 1508261702 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 10/30/2014 and was last updated on 12/17/2021.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	148870	ALASKA	Yes
2	363L00000X	Nurse Practitioner		21452	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	CNP191055	MAINE	No
4	363LF0000X	Nurse Practitioner	Family	AP126391	TEXAS	No
5	363LF0000X	Nurse Practitioner	Family	148870	ALASKA	No
6	363LF0000X	Nurse Practitioner	Family	AP61119130	WASHINGTON	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	079998-23	NEW HAMPSHIRE	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	243410	ARIZONA	No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202105062NPPP	OREGON	No

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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