Courtney Mary Davis, RD CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86019133

Practice address

1400 Jackson St
Denver, CO 80206

Phone

(303) 388-4461

Fax

(303) 270-2174

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1235652660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062762",
            "telephone_number": "303-388-4461",
            "fax_number": "303-270-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "303-388-4461",
            "fax_number": "303-270-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "MARY",
        "credential": "RD CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86019133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235652660",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Davis
• Brooke Lynette Davis, MA
• Cameren Davis, LPC
• Candice Davis
• Carly Nicole Davis, MS, RDN, LD
• Crystal Dawn Davis, B.S
• Cynthia D Davis, LPC, CACIII
• Dan Davis, PH.D.
• Debra Annis Davis, REGISTERED NURSE
• Erica Davis, RN

• Registered Dietitian in Denver, CO
• Providers in Denver, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.