Active NPI
Jeanette Lynn Davis
- Registered Nurse
- Litchfield, MN
National Provider Identifier
1073849899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R144623-6
- Practice address
- 114 N Holcombe Ave
Litchfield, MN 55355-2210 - Phone
- (320) 693-5370
- Fax
- (320) 693-5399
- NPI assigned
- Oct 29, 2009
- Last updated
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R144623-6 | MN | Primary |
Addresses
Primary practice location
114 N Holcombe Ave
Litchfield, MN 55355-2210
Mailing address
114 N Holcombe Ave
Litchfield, MN 55355-2210
Phone (320) 693-5370
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R144623-6 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1073849899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N HOLCOMBE AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553552210",
"telephone_number": "320-693-5370",
"fax_number": "320-693-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N HOLCOMBE AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553552210",
"telephone_number": "320-693-5370",
"fax_number": "320-693-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEANETTE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R144623-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, MN
- County of Meeker (Meeker Memorial Hospital)
- County of Meeker (Meeker County Public Health)
- Susan D Curtis, DC
- Amber Dee Cziok, D.D.S.
- Michael George Cziok, D.D.S.
- Janet Day, BS PHARMACY
- Carly Ann Derouin, MOT, OTR/L, CLT
- Ecumen (Emmanuel Nursing Home)
- Ecumen (Ecumen Home Care - Litchfield)
- Ecumen (Ecumen Litchfield Adult Day Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.