Michelle Davis

Primary specialty

Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X

License

RRT 5870 Issued in TN

Practice address

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Phone

(662) 772-4972

NPI assigned

Aug 17, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Michelle Bell Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2014.

{
    "created_epoch": "1408233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1154720019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-772-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-772-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-17",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "TN",
            "license": "RRT 5870",
            "primary": true
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "MS",
            "license": "RCP 4920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BELL",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Colton Grant Davis, DPT
• Gabrielle Grace Davis, COTA/L
• Kelli H. Davis, LPC
• Kimberly Davis, LPC
• Laura Elizabeth Davis, FNP
• Pamela Lynn Davis, PAC
• Shaniqua Davis, CCC-SLP
• Shirley T Davis, RDN LD
• Tabitha Elizabeth Davis, DC
• Radhi Daya, OD

• All providers in Southaven, MS
• Critical Care Registered Respiratory Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.