PETISHA DAVIS FNP
NPI 1134589542
Nurse Practitioner - Family in Excelsior Springs, MO

Active since February 26, 2016
1700 RAINBOW BLVD, EXCELSIOR SPRINGS, MO 64024(816) 630-6081(816) 629-3661 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Petisha Davis Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETISHA DAVIS FNP (NPI 1134589542) is an individual family provider in Excelsior Springs, Missouri, licensed in Missouri (2008007305) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1134589542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePETISHA DAVISCredential: FNP
Location Address1700 RAINBOW BLVDExcelsior Springs, MO 64024-1182
Mailing Address14951 M HighwayRayville, MO 64084-9074 · (816) 807-6228
Fax(816) 629-3661
Sole ProprietorNo
Enumeration DateFebruary 26, 2016
Last NPPES UpdateApril 12, 2016
✔ NPI 1134589542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MO · 2008007305✔ Licensed in KS · 14106475111
1700 RAINBOW BLVD, Excelsior Springs, MO 64024

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
Otolaryngology
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
Counselor (Mental Health)
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
Nurse Practitioner (Psychiatric/Mental Health)
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
General Acute Care Hospital (Rural)
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
Pharmacist
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
Nurse Practitioner (Psychiatric/Mental Health)
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024
Emergency Medicine
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO 64024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petisha Davis's NPI number?

The NPI number for Petisha Davis is 1134589542. It was assigned to this individual provider in the NPPES registry on February 26, 2016.

Where is Petisha Davis located?

Petisha Davis practices at 1700 Rainbow Blvd, Excelsior Springs, MO 64024. The listed phone number is (816) 630-6081.

What is Petisha Davis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Petisha Davis was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.