Sonya Davis

Individual provider Active NPI Driver · Corsicana, TX

NPI 1164098091 · NPPES record last updated Jun 1, 2021

Key facts

NPI
1164098091
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
13183634 (TX)
Practice address
701 E 17TH Ave
Corsicana, TX 75110-8235
Phone
(903) 493-3589
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
13183634TXMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Jenica Senior Transportation Service Current
since Jun 27, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 13183634 TX Yes

Addresses

Primary practice location

701 E 17TH Ave
Corsicana, TX 75110-8235

Mailing address

701 E 17TH Ave
Corsicana, TX 75110-8235
Phone (903) 493-3589

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2021.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1164098091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 17TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751108235",
            "telephone_number": "903-493-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 17TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751108235",
            "telephone_number": "903-493-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "13183634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

All providers in Corsicana, TX · Driver in Texas

Sources for this page

Verify at the official NPI Registry.