Maryann Hickey Davis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704121801 Issued in MI

Practice address

4650 W US Highway 223
Adrian, MI 49221-8494

Phone

(517) 266-2588

Fax

(517) 266-0224

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093844136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 JUNCTION RD",
            "city": "ADDISON",
            "state": "MI",
            "postal_code": "492208704",
            "telephone_number": "517-547-7568",
            "fax_number": "517-547-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218494",
            "telephone_number": "517-266-2588",
            "fax_number": "517-266-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARYANN",
        "middle_name": "HICKEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704121801",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "21114612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Reisig Dauer, PT, DPT
• Amitbhai K Dave, PT
• Israel Davidov, DDS
• Amanda MM Davis, LPC-S
• Jeffrey Peter Davis, LMSW-C
• Amber Jo Daweritz, LLMSW
• Katherine Heather Day, M.A CCC-SLP
• Ryan Christopher De Coup- Crank, DPT
• Chelsea Elaine Deck I, MSW
• William Clark Decker, D.O.

• Registered Nurse in Adrian, MI
• Providers in Adrian, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.