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NATHANIEL JOHN DAVIS CDC1
NPI 1619726213
Counselor - Addiction (Substance Use Disorder) in Kenai, AK

Active since May 15, 2024
508 UPLAND ST, KENAI, AK 99611(907) 335-7500 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 3, 2026, May 15, 2024 (2 updates tracked since 2024).

About Nathaniel John Davis Cdc1 NPPES

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

NATHANIEL JOHN DAVIS CDC1 (NPI 1619726213) is an individual addiction (substance use disorder) provider in Kenai, Alaska and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1619726213
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNATHANIEL JOHN DAVISCredential: CDC1
Location Address508 UPLAND STKenai, AK 99611-8026
Mailing AddressPo Box 84101Seattle, WA 98124-5401 · (907) 335-7500
Phone(907) 335-7500
Sole ProprietorNo
Enumeration DateMay 15, 2024
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1619726213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
508 UPLAND ST, Kenai, AK 99611
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Other Identifiers 1

Medicaid1749657AK

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.

GEHRET MITCHELL MEDCOFF
Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
MS. LENA ALLIE ANDREW
Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
RYLEE MAGANA
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
SHIELA DIANNE RILEY ARNP
Nurse Practitioner (Family)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
TANYA ALMARAZ
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
CAYLA SALYERS
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7300
SKYLER SHAY DIEHL
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500
DR. MATTHEW DOUGLAS RICHARDS DDS
Dentist
508 UPLAND ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 335-7500

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 Nathaniel Davis's NPI number?

The NPI number for Nathaniel Davis is 1619726213. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Nathaniel Davis located?

Nathaniel Davis practices at 508 Upland St, Kenai, AK 99611. The listed phone number is (907) 335-7500.

What is Nathaniel Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nathaniel Davis was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.