Active NPI
Crystina Davis
- Driver
- Portsmouth, VA
National Provider Identifier
1164040853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T60699412
- Practice address
- 602 Edwards St Apt F
Portsmouth, VA 23704-6748 - Phone
- (757) 372-7501
- NPI assigned
- Jul 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Driver | 172A00000X | T60699412 | VA | Primary |
Addresses
Primary practice location
602 Edwards St Apt F
Portsmouth, VA 23704-6748
Mailing address
602 Edwards St Apt F
Portsmouth, VA 23704-6748
Phone (757) 372-7501
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 |
|---|---|---|---|
| T60699412 | VA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1164040853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 EDWARDS ST APT F",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237046748",
"telephone_number": "757-372-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 EDWARDS ST APT F",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237046748",
"telephone_number": "757-372-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CRYSTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T60699412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.