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

Randi Dawnielle Davis, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1700486008

Randi Dawnielle Davis, AGNP-C is a Nurse Practitioner in Fairmont, West Virginia. Qualified in 2019, 7 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2020

Practice location Address checks out

1543 Country Club Rd
Fairmont, WV 26554-1306
Phone: (304) 363-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 105753 (WV)

Record details

NPI number1700486008
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairmont