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

Shannon Rea Davis, NP-C, PMHNP

Individual provider Family Nurse Practitioner · NPI 1508261702

Shannon Rea Davis, NP-C, PMHNP is a Nurse Practitioner in Eagle River, Alaska. Qualified in 2014, 12 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Alaska, Arizona, Montana and Oregon and 2 more.

Years since qualifying
12
Licensed in
AK, AZ, MT, OR, TN, WA
In the registry since
2014
Specialties on file
7
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

17051 Mercy Dr Ste 204
Eagle River, AK 99577-7630
Phone: (907) 696-0096
Fax: (949) 577-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 600 Central Ave Ste 208, Great Falls, MT 59401-3141 — (907) 696-0096
  • 18 W Mercer St Ste 360, Seattle, WA 98119-3993 — (907) 969-0096

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 148870 (AK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 148870 (AK)
Nurse Practitioner Taxonomy 363L00000X · Licence 21452 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61119130 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 243410 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 233985 (MT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 202105062NPPP (OR)

Record details

NPI number1508261702
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C , PMHNP
Sole proprietorNo
NPI enumeratedOctober 30, 2014
Last updated in NPPESMarch 2, 2024
Certification dateMarch 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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