Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Noel Davis, APRN

Individual provider Family Nurse Practitioner · NPI 1215817481

Lydia Noel Davis, APRN is a Nurse Practitioner in Shiloh, Illinois. Qualified in 2025, 1 year ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1404 Cross St
Shiloh, IL 62269-2988
Phone: (618) 607-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 — (314) 305-1447

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2025035966 (MO)

Record details

NPI number1215817481
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 6, 2025
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address316 W Linden St, Edwardsville, IL 62025-2052

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shiloh