Melinda Davis, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

580728-01 Issued in NY

Practice address

Conifer Park 556 Clinton Avenue South
Rochester, NY 14620

Phone

(585) 442-8422

Fax

(585) 442-8494

NPI assigned

Aug 28, 2023

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Villa of Hope

  • Voluntary or Charitable Agency
  • Rochester, NY
  • NPI 1578640298
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1063297232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONIFER PARK 556 CLINTON AVENUE SOUTH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203741",
            "telephone_number": "585-442-8422",
            "fax_number": "585-442-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONIFER PARK 556 CLINTON AVENUE SOUTH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14620",
            "telephone_number": "585-442-8422",
            "fax_number": "585-442-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Dewey Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146163741",
            "country_code": "US",
            "telephone_number": "585-865-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELINDA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "580728-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makunda Davis, RN
• Mallory Davis
• Marcy Renea Davis
• Matthew Gilruth Davis, MD
• Megan Davis, LMHC
• Michael Taro Davis, M.D.
• Nancy L Davis, LPN
• Precious Ianna Davis, LPN
• Randisha Renea Davis
• Renee M Davis, RD, CDCES

• School Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.