Healthcare Provider Details

I. General information

NPI: 1144131574
Provider Name (Legal Business Name): CAITLIN ANN DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5445 RED ROCK LN STE 300
LINCOLN NE
68516-6528
US

IV. Provider business mailing address

5445 RED ROCK LN STE 300
LINCOLN NE
68516-6528
US

V. Phone/Fax

Practice location:
  • Phone: 531-333-2037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number117222
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: