Active NPI
Jessica Lynn Davis, LAT, ATC
- Athletic Trainer
- New Orleans, LA
National Provider Identifier
1205355690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 307128
- Practice address
- 1221 S Clearview Pkwy
New Orleans, LA 70121-1011 - Phone
- (903) 736-9071
- NPI assigned
- Sep 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 307128 | LA | Primary |
Addresses
Primary practice location
1221 S Clearview Pkwy
New Orleans, LA 70121-1011
Mailing address
1002 W University Ave Apt 32
Hammond, LA 70401-1323
Phone (903) 736-9071
Other practice location 1
1221 S Clearview Pkwy
New Orleans, LA 70121-1011
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 |
|---|---|---|---|
| 307128 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1205355690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 W UNIVERSITY AVE APT 32",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704011323",
"telephone_number": "903-736-9071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S CLEARVIEW PKWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701211011",
"telephone_number": "903-736-9071"
}
],
"practiceLocations": [
{
"address_1": "1221 S Clearview Pkwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701211011",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "307128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.