Nedra Tenley Davidson

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

L1-0043224 Issued in DE

Practice address

1206 Forrest Ave
Dover, DE 19904-3311

Phone

(877) 286-5115

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atn Physicians & Associates LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Newark, DE
  • NPI 1275189375
  NPD
• American Treatment Network LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Havertown, PA
  • NPI 1871182451
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1023732021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 PEACHTREE RUN",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199621805",
            "telephone_number": "302-212-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 FORREST AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043311",
            "telephone_number": "877-286-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "NEDRA",
        "middle_name": "TENLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "L1-0043224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Maria Dasilva, FNP-BC
• Carla Daufenbach, L.C.S.W.
• Bhavin R Dave, MD
• David Ross Davenport Jr., PA
• David E. Schmidt Jr., M.D.P.a.
• Svastijaya Daviratanasilpa, M.D.
• Carla Davis-Mann
• Emerald Davis
• Khai E Davis, PA
• Kristina Cooper Davis, MS, RD, LDN

• Addiction (Substance Use Disorder) Registered Nurse in Dover, DE
• Providers in Dover, DE by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.