Active NPI
Talia Denise Davis, LPN
- Licensed Practical Nurse
- Wilmington, DE
National Provider Identifier
1104293331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L2-0009926
- Practice address
- 2713 Lancaster Ave
Wilmington, DE 19805-5220 - Phone
- (302) 656-2348
- NPI assigned
- Aug 24, 2015
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L2-0009926 | DE | Primary |
Addresses
Primary practice location
2713 Lancaster Ave
Wilmington, DE 19805-5220
Mailing address
8 Colony Blvd
Apt 307
Wilmington, DE 19802-1465
Phone (302) 399-7159
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 |
|---|---|---|---|
| L2-0009926 | DE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1104293331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 COLONY BLVD",
"address_2": "APT 307",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198021465",
"telephone_number": "302-399-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 LANCASTER AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198055220",
"telephone_number": "302-656-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TALIA",
"middle_name": "DENISE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DE",
"license": "L2-0009926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.