Active NPI
Shianne Elizabeth Davis, LMSW
- Social Worker
- Salina, KS
National Provider Identifier
1245906734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12701
- Practice address
- 809 Elmhurst Blvd
Salina, KS 67401 - Phone
- (785) 823-6322
- Fax
- (785) 823-3109
- NPI assigned
- Aug 17, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 12701 | KS | Primary |
Addresses
Primary practice location
809 Elmhurst Blvd
Salina, KS 67401
Mailing address
809 Elmhurst Blvd
Salina, KS 67401
Phone (785) 823-6322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201340600A | Medicaid | KS |
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 |
|---|---|---|---|
| 12701 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1245906734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 ELMHURST BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-823-6322",
"fax_number": "785-823-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ELMHURST BLVD",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-823-6322",
"fax_number": "785-823-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHIANNE",
"middle_name": "ELIZABETH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "12701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201340600A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.