Organization Active NPI

Thedavisfam, LLC

  • Registered Nurse First Assistant
  • Lexington, KY
National Provider Identifier
1154051639
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
THEDAVISFAM, LLC
Practice address
1031 Wellington Way Ste 245
Lexington, KY 40513-1256
Phone
(714) 393-5840
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Stephen J Davis, PHD NM, CFMP, RNFANPI 1164661468
Title
Owner
Phone
(714) 393-5840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

1031 Wellington Way Ste 245
Lexington, KY 40513-1256

Mailing address

1031 Wellington Way Ste 245
Lexington, KY 40513-1256
Phone (714) 393-5840

Other names 2

  • BlueGrass Natural Health Doing business as
  • DavisRNFA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1154051639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 WELLINGTON WAY STE 245",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131256",
            "telephone_number": "714-393-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 WELLINGTON WAY STE 245",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131256",
            "telephone_number": "714-393-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEDAVISFAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-393-5840",
        "authorized_official_credential": "PHD NM, CFMP, RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueGrass Natural Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BlueGrass Natural Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DavisRNFA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.