Lisa Kaye Davis, APRN, FNP-C
Nurse Practitioner, Family in Ardmore, OK. Individual provider (NPI-1).
NPI number1154883353
StatusActive
Last updated in NPPESSep 22, 2025
Details
- NPI
- 1154883353
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Kaye Davis
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2019
- Certification date
- Sep 22, 2025
- Last updated
- Sep 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP140978 | TX | Yes |
Other names
- Lisa Kaye Davis-Sampert (Former Name)
Practice location
2510 Chickasaw BlvdArdmore, OK 73401-1341
Phone 580-226-8181
Mailing address
1203 N Washington Avenue #1048Durant, OK 74701
Phone 580-380-7372
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 48 Family Nurse Practitioner providers in Ardmore · All 1,684 providers in Ardmore
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