Carisa Davis

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

14983 Boaz LN
Lindale, TX 75771-4801

Phone

(972) 896-1843

NPI assigned

Jul 21, 2021

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1215500962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14983 BOAZ LN",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757714801",
            "telephone_number": "972-896-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14983 BOAZ LN",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757714801",
            "telephone_number": "972-896-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc (CVS Pharmacy #10339)
• Brandi Dane
• Dean A. Darr, D.C.
• Bethany Davidson, LVN
• Anthony Dewayne Davis, M.D.
• Jessica Elizabeth Dearborn, RN
• Paul Sartain Denson, D.D.S.
• Brittany Dill
• Danielle Dion
• DJD Management PC (Spinal Aid Center of Tyler)

• Other Specialist/Technologist in Lindale, TX
• Providers in Lindale, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.