Dora Davis Davis, RN

Key facts

NPI

1225524432

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

67794 (WV)

Practice address

48 Mystery Mt Road
Delbarton, WV 25670

Phone

(304) 426-8540

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2018.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1225524432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "VARNEY",
            "state": "WV",
            "postal_code": "256960255",
            "telephone_number": "304-426-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MYSTERY MT ROAD",
            "city": "DELBARTON",
            "state": "WV",
            "postal_code": "25670",
            "telephone_number": "304-426-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DORA",
        "middle_name": "DAVIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "67794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delbarton, WV

• Kelli Curry
• Tasha Danielle Curry
• Mary Daniels
• Andrea Lynn Davis
• Ashley Nicole Davis
• Erica Rae Davis
• Natoshia Ann Davis
• Amanda Deboard
• Angela Dempsey
• Justin Lee Dempsey

All providers in Delbarton, WV · Registered Nurse in West Virginia