Vicki Rae Davis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN593354 Issued in PA

Practice address

125 Maple Hollow Rd
Duncansville, PA 16635-7920

Phone

(814) 693-2273

Fax

(814) 693-1191

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vicki Imler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Private Care Resources, Inc

  • Home Health Agency
  • Duncansville, PA
  • NPI 1477885622
  NPD (past)
• Private Care Resources, Inc

  • Home Health Agency
  • Altoona, PA
  • NPI 1841350881
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1184106791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAPLE HOLLOW RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166357920",
            "telephone_number": "814-693-2273",
            "fax_number": "814-693-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAPLE HOLLOW RD",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166357920",
            "telephone_number": "814-693-2273",
            "fax_number": "814-693-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICKI",
        "middle_name": "RAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN593354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841350881",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "IMLER",
            "credential": "LPN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crossroads Physical Therapy and Rehabilitation, Inc.
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Crossroads Physical Therapy and Rehabilitation, Inc.
• Sandra L Custer, CRS
• Miriam Defay, PT
• Jennifer Marie Dibert, PTA
• Merrisa Dibert
• Ronald C Dick, R.PH.
• Matthew Thomas Dillon, LPC

• Registered Nurse in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.