Nickesha Smallhorne Davis

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1 Hartford SQ Ste 262
New Britain, CT 06052-1161

Phone

(203) 444-3778

Fax

(860) 780-7080

NPI assigned

Jan 30, 2024

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

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1073376448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MILLS ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104941",
            "telephone_number": "860-997-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARTFORD SQ STE 262",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521161",
            "telephone_number": "203-444-3778",
            "fax_number": "860-780-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICKESHA",
        "middle_name": "SMALLHORNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shruti Raju Dandu, DDS
• Annie Shaji Daniel, MD
• Alisa H. Darling, M.D.
• Natalie David
• Greg Davis Jr., LPCA, NCC
• Ashley Davison, LCSW
• Shawna Leigh Day, RPA-C
• Monica De Los Santos, MS SCHOOL COUNSELOR
• Daryl F De Villier II, PA
• Alexandra Deangelis, PA-C

• Professional Counselor in New Britain, CT
• Providers in New Britain, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.