Maxine May Davis, EDD

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00097000 Issued in NJ

Practice address

3050 Regent Blvd Suite 400
Emsi Network Development
Irving, TX 75063

Phone

(610) 841-3418

NPI assigned

May 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1093073769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD. SUITE 400",
            "address_2": "EMSI NETWORK DEVELOPMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "610-841-3418",
            "fax_number": "866-757-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD SUITE 400",
            "address_2": "EMSI NETWORK DEVELOPMENT",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "610-841-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MAXINE",
        "middle_name": "MAY",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00097000",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP013730",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340960-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Davis, LCSW
• Hannah Davis
• Janae Davis
• Kendra Davis
• Larry A Davis, DDS
• Michele Mackie Davis, PHYSICIAN ASSISTANT
• Nina Munoz Davis, PA-C
• Peyten Ross Davis, DC, MS
• Ruth Davis, DC, ATC
• Seth Davis, DPT

• Gerontology Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.