Active NPI
Vaniesa M Davis, PA
- Physician Assistant
- Houston, TX
National Provider Identifier
1134318710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02724
- Practice address
- 11914 Astoria Blvd
#300
Houston, TX 77089-6064 - Phone
- (281) 922-5099
- Fax
- (281) 922-5490
- NPI assigned
- Oct 18, 2007
- Last updated
- Aug 28, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02724 | TX | Primary |
Addresses
Primary practice location
11914 Astoria Blvd
#300
Houston, TX 77089-6064
Mailing address
11914 Astoria Blvd
#300
Houston, TX 77089-6064
Phone (281) 922-5099
Other names 1
- Vaniesa J Mason
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cornerstone Chiropractic
- Chiropractor
- League City, TX
- NPI 1972750719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1134318710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11914 ASTORIA BLVD",
"address_2": "#300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896064",
"telephone_number": "281-922-5099",
"fax_number": "281-922-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11914 ASTORIA BLVD",
"address_2": "#300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896064",
"telephone_number": "281-922-5099",
"fax_number": "281-922-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "VANIESA",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANIESA",
"last_name": "MASON",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.