Active NPI 1528504818 Individual Practitioner Female Practitioner

Bethany Davis , APRN

Nurse Practitioner - Pediatrics • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Bethany Davis, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Clearwater, FL. Practice services are available at 14100 58TH ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14100 58th St N

Clearwater, FL 337609900

Telephone 7278248181

Associated Practice Facility / Clinic

🏢 Community Health Center Of Pinellas Inc Facility NPI 1104420876

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Clearwater, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Clearwater, FL (1565 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-19

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL APRN11002802

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License SC 20623

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

103751600 (FL)

Secondary Practice Locations

901 E Bloomingdale Ave

Brandon, FL 335118118

Phone: 8136993995

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Alyssa Benson

Nurse Practitioner - Family

NPI 1003203894

Pearl Owusu-Bugyei

Nurse Practitioner - Family

NPI 1003408253

Dr. Gaetano Perego , MD

Obstetrics & Gynecology - Obstetrics

NPI 1003885005

Doctor of Medicine (M.D.)

Nikole Orta , ARNP

Nurse Practitioner

NPI 1013469279

Advanced Registered Nurse Practitioner

Dr. Jonathan Mai , DO

General Practice

NPI 1013593508

Doctor of Osteopathic Medicine (D.O.)

Dr. Carolinne Woodhouse , DDS

Dentist - General Practice

NPI 1013601020

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location May 19, 2025

Registered at 14100 58TH ST N, CLEARWATER, FL 337609900 (Tel: 7278248181)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Nurse Practitioner (License #20623 in SC)

📍

Updated Practice Location August 30, 2021

Registered at 901 E BLOOMINGDALE AVE, BRANDON, FL 335118118 (Tel: 8136993995)

📍

Updated Practice Location January 24, 2020

Registered at 12871 CITRUS PLAZA DR, TAMPA, FL 336253010 (Tel: 8134714455)

👤

Provider Name / Credentials Updated September 10, 2019

Recorded as BETHANY DAVIS, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2019

Nurse Practitioner (License #APRN11002802 in FL)

📍

Updated Practice Location September 09, 2019

Registered at 10710 STATE ROAD 54 STE 108, TRINITY, FL 346552263 (Tel: 7273764040)

📍

Updated Business Mailing Address September 09, 2019

Registered at 900 S PINE ISLAND RD STE 800, PLANTATION, FL 333243923 (Tel: 7273764040)

✅

NPI Profile Active January 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2017

Registered at 2051 CHARLIE HALL BLVD, CHARLESTON, SC 294145834 (Tel: 8435732535)

📍

Updated Business Mailing Address January 11, 2017

Registered at 2051 CHARLIE HALL BLVD, CHARLESTON, SC 294145834 (Tel: 8435732535)

👤

Provider Name / Credentials Updated January 11, 2017

Recorded as BETHANY DAVIS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2017

Nurse Practitioner (License #20623 in SC)

🟢

Initial NPI Registration & Enumeration January 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528504818

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 11, 2017

Last Update: May 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

900 S Pine Island Rd Ste 800

Plantation, FL 333243923

Phone: 8136993995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.