Jodi-Anne Martina Davidson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95032939 Issued in CA

Practice address

528 W 23Rd St
San Pedro, CA 90731-5906

Phone

(713) 859-8840

NPI assigned

Dec 18, 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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1093523482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W 23RD ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315906",
            "telephone_number": "713-859-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W 23RD ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315906",
            "telephone_number": "713-859-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JODI-ANNE",
        "middle_name": "MARTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farina Yasmin Dary
• David E Feldman, M.D., Inc.
• David J. Campisi, M.D., a Medical Corporation
• David Martin D.D.S., Inc.
• Heather Adrienne Davidson, LCSW
• Robert Owen Davies, M.D.
• Veronica Davies, M.S., MFTI
• Priscilla Jaylyn Davila Pedroza
• Robert Davis
• Stephanie Colleen Davis, HYG

• Psychiatric/Mental Health Nurse Practitioner in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.