Sade Yolanda Davis

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO-276302 Issued in PA

Practice address

2414 N Garnet St
Philadelphia, PA 19132-3725

Phone

(267) 234-3333

NPI assigned

Feb 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Skillzrus

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
  • NPI 1013541705
  NPD Authorized official
• Skillzrus LLC

  • Home Health Agency
  • Wilmington, DE
  • NPI 1912593500
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1174156012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 N SPANGLER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191321032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 N GARNET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323725",
            "telephone_number": "267-234-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SADE",
        "middle_name": "YOLANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "CO-276302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "skillzrus@yahoo.com",
            "affiliation": "N",
            "address_1": "3106 N Spangler St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191321032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Catherine Davis, M.D.
• Patricia E Davis, LCSW
• Rebecca Lauren Davis, M.D.
• Reshma Davis
• Ruby Davis, MHA/GER
• Sara Davis
• Sarah Ann Davis, ATR-BC
• Scott Davis, M.D.
• Selbey George Davis, CPNP-AC/PC
• Selina Jewel Davis, MD

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.