Carla L Davis

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Practice address

3709 N. 41St Street
Milwaukee, WI 53216-3044

Phone

(414) 499-7270

NPI assigned

Nov 12, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Connections Resource Center LLC

  • Preferred Provider Organization
  • Milwaukee, WI
  • NPI 1255958781
  NPD Authorized official

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1215572409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 N. 41ST STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163044",
            "telephone_number": "414-499-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3709 N 41st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532163044",
            "country_code": "US",
            "telephone_number": "414-499-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3709 N 41st street",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532163044",
            "country_code": "US",
            "telephone_number": "414-499-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3709 N. 41st street",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532163044",
            "country_code": "US",
            "telephone_number": "414-499-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARLA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Davis, MSW
• Bradley Davis, D.O.
• Brealyn Davis, NNP-BC, APNP
• Brent Davis, PHARMD
• Bythia Amanda Davis, CNA
• Carley M. Davis, M.D.
• Carrie Davis
• Christiana Davis
• Christopher Stephen Davis, MD, MPH
• Danielle Davis

• Preferred Provider Organization in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Preferred Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.