Courtney A Davis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5203715 Issued in FL

Practice address

4839 Sisson Rd
Titusville, FL 32780-7232

Phone

(321) 370-7914

NPI assigned

Mar 23, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1194285262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4839 SISSON RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807232",
            "telephone_number": "321-370-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4839 SISSON RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807232",
            "telephone_number": "321-370-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5203715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gary Daly, D.C.
• Finneran Jackson Woo Daly, LAC
• Leah Jane Dansby, LMT
• David B. McMahon, M.D., P.a.
• David N Greenblum, MD, PA
• Dawn Warner LMHC, Inc
• Alexander David Dawson, ATC, LAT
• Cheyanne Lee Day
• Sabrina De la Fe
• Katie Louise De Witt, LCSW

• Licensed Practical Nurse in Titusville, FL
• Providers in Titusville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.