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

Tamara Davydova, FNP-BC, WCC, OMS

Individual provider Wound Care Registered Nurse · NPI 1093506958

Tamara Davydova, FNP-BC, WCC, OMS is a Nurse Practitioner in Flushing, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

14404 69th Rd
Flushing, NY 11367-1702
Phone: (347) 656-3730
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F355879-07 (NY)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 620695 (NY)
Ostomy Care Registered Nurse Taxonomy 163WX1500X · Licence 620695 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence F355879-07 (NY)

Record details

NPI number1093506958
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , WCC , OMS
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare