Active NPI
Nancy Davison, LAC, PT
- Acupuncturist
- Raleigh, NC
National Provider Identifier
1063471530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 164
- Practice address
- 5708 Finsbury CT
Raleigh, NC 27609-3955 - Phone
- (919) 215-0204
- Fax
- (919) 322-2139
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 000321 | NC | |
| Acupuncturist | 171100000X | 164 | NC | Primary |
Addresses
Primary practice location
5708 Finsbury CT
Raleigh, NC 27609-3955
Mailing address
5708 Finsbury CT
Raleigh, NC 27609-3955
Phone (919) 215-0204
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20WLE | Medicaid | NC | |
| 20WLE | Other | NC | BCBS |
| 650022723 | Other | NC | RAILROAD |
| 11914671 | Other | NC | CAQH |
| 562132986 | Other | NC | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164 | NC | MD | Marriage & Family Therapist |
| 000321 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suresteps Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Raleigh, NC
- NPI 1326127242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1063471530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5708 FINSBURY CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093955",
"telephone_number": "919-215-0204",
"fax_number": "919-322-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5708 FINSBURY CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093955",
"telephone_number": "919-215-0204",
"fax_number": "919-322-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "NANCY",
"credential": "LAC, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "000321",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20WLE",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20WLE",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "650022723",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11914671",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "562132986",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.