Cleveland Davis III

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11023204 Issued in FL

Practice address

8280 NW 24TH CT
Pembroke Pines, FL 33024-3508

Phone

(954) 589-4256

NPI assigned

Dec 16, 2022

Last updated

Dec 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1033821517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 NW 24TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243508",
            "telephone_number": "954-589-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 NW 24TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243508",
            "telephone_number": "954-589-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLEVELAND",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11023204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clevelanddav2016@fau.edu",
            "affiliation": "N",
            "address_1": "8280 NW 24th Ct",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330243508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aliza Bracha Davids
• Davie Medical Center, LLC (HCA Florida ER (City Center), a part of HCA Florida University Hospital)
• Brooke Davignon
• Malby Maria Davila, CRNA
• Ruth Davila
• Derrick Anthony Davis, MPH, PA-C
• Dunechka A Davis, PTA
• Jaime Nicole Davis, APRN
• Keishana Nicole Davis
• Lowell Scott Davis, DO

• Psychiatric/Mental Health Nurse Practitioner in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.