Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679583793 Individual Practitioner Female Practitioner

Peggy J Davidson , CRNP

Licensed Practical Nurse • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Peggy Davidson, CRNP is a registered healthcare professional specializing in Licensed Practical Nurse in Tyler, TX. Practice services are available at 455 RICE RD STE 108 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

455 Rice Rd Ste 108
#108

Tyler, TX 757033604

Telephone 9039390799
Fax 9039390799

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Tyler, TX (727 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TX 249499

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
175568801 (TX)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2008

Registered at 455 RICE RD STE 108, #108, TYLER, TX 757033604 (Tel: 9039390799)

📍
Updated Business Mailing Address August 12, 2008

Registered at 108 FENTON RD, LONGVIEW, TX 756041119 (Tel: 9039390799)

👤
Provider Name / Credentials Updated August 12, 2008

Recorded as PEGGY DAVIDSON, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Licensed Practical Nurse (License #249499 in TX)

🟢
Initial NPI Registration & Enumeration August 09, 2006

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: 1679583793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: August 12, 2008
Sole Proprietor: Yes

Mailing Address

108 Fenton Rd

Longview, TX 756041119

Phone: 9039390799

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.