| Nicole Nielsen Davis, MD | |
|
177 E 900 S Ste 203, Salt Lake City, UT 84111-4252 | |
| (801) 448-6454 | |
| Not Available |
| Full Name | Nicole Nielsen Davis |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 177 E 900 S Ste 203, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518492743 | NPI | - | NPPES |
| CDR.0001262 | Other | CO | COLORADO MEDICAL LICENSE |
| 13843 | Other | SD | SOUTH DAKOTA MEDICAL LICENSE |
| 328280 | Other | LA | LOUISIANA MEDICAL LICENSE |
| MD.43646 | Other | AL | ALABAMA MEDICAL LICENSE |
| MD207221 | Other | OR | OREGON MEDICAL LICENSE |
| THMD00023 | Other | AZ | ARIZONA MEDICAL LICENSE |
| 19019 | Other | ND | NORTH DAKOTA MEDICAL LICENSE |
| 4859812-1205 | Other | UT | UTAH MEDICAL LICENSE |
| A169764 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| MD61214576 | Other | WA | WASHINGTON MEDICAL LICENSE |
| ME1674 | Other | FL | FLORIDA MEDICAL LICENSE |
| U0473 | Other | TX | TEXAS MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4859812-1205 (Utah) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210225002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Nielsen Davis, MD Po Box 705, Salt Lake City, UT 84110-0705 Ph: (801) 448-6454 | Nicole Nielsen Davis, MD 177 E 900 S Ste 203, Salt Lake City, UT 84111-4252 Ph: (801) 448-6454 |
Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197 | |
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400 | |
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382 | |
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117 | |
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741 | |
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771 | |
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121 |