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ABIGAIL U DAVIS
NPI 1700417821
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since January 28, 2020PECOS Enrolled
5113 GLEN CANYON RD, FORT WORTH, TX 76137(817) 879-9714 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abigail U Davis NPPES

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

ABIGAIL U DAVIS (NPI 1700417821) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700417821
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameABIGAIL U DAVIS
Location Address5113 GLEN CANYON RDFort Worth, TX 76137-4104
Mailing Address5113 Glen Canyon RdFort Worth, TX 76137-4104 · (817) 879-9714
Phone(817) 879-9714
Sole ProprietorYes
Enumeration DateJanuary 28, 2020
✔ NPI 1700417821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5113 GLEN CANYON RD, Fort Worth, TX 76137
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail U Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Abigail Davis's NPI number?

The NPI number for Abigail Davis is 1700417821. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Abigail Davis located?

Abigail Davis practices at 5113 Glen Canyon Rd, Fort Worth, TX 76137. The listed phone number is (817) 879-9714.

What is Abigail Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Abigail Davis enrolled in Medicare?

Yes. Abigail Davis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abigail Davis was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.