Individual Healthcare Provider
Natalie A Davidson, ACNP
Provider's NPPES record last updated: September 13, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1578113189
- Primary Specialty
- Nurse Practitioner — Acute Care
- Practice Location
- Newark, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 12:28 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X
Provider-Reported License Information
- Nurse Practitioner (New York)
- 431620
- Nurse Practitioner (New York)
- F431620-01
Practice Locations
Practice Location
1200 Driving Park Ave
Newark, New York 14513
Phone: (315) 359-2123
Additional Practice Location
908 Long Pond Rd
Greece, New York 14626-1107
Phone: (770) 875-6188
Additional Practice Location
908 Long Pond Rd
Greece, New York 14626-1107
Phone: (770) 875-6188
Additional Practice Location
1425 Portland Ave
Rochester, New York 14621-3011
Phone: (585) 922-5067
Fax: (585) 922-2908
Additional Practice Location
2 Coulter Rd
Clifton Springs, New York 14432-1122
Phone: (315) 462-9561
Fax: (315) 462-2938
Record Information
- Enumeration Date
- September 16, 2019
- Provider's NPPES Record Last Updated
- September 13, 2022
- Certification Date
- September 13, 2022
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue