Active NPI
Stacy Bess Davis, LAT,ATC
- Athletic Trainer
- Statesville, NC
National Provider Identifier
1215324405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-2020
- Practice address
- 490 Bess Rd
Statesville, NC 28625-9575 - Phone
- (704) 902-5043
- NPI assigned
- Apr 25, 2015
- Last updated
- Apr 25, 2015
- 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 | LAT-2020 | NC | Primary |
Addresses
Primary practice location
490 Bess Rd
Statesville, NC 28625-9575
Mailing address
490 Bess Rd
Statesville, NC 28625-9575
Phone (704) 902-5043
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 |
|---|---|---|---|
| LAT-2020 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429920000000",
"number": "1215324405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 BESS RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259575",
"telephone_number": "704-902-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 BESS RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259575",
"telephone_number": "704-902-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "STACY",
"middle_name": "BESS",
"name_prefix": "Mrs.",
"credential": "LAT,ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-25",
"last_updated": "2015-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-2020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.