Fannie Marie Davis, BS

Primary specialty

SpecialistTaxonomy code 174400000X

License

1611 Issued in TX

Practice address

623 Fern Drive
Desoto, TX 75115-6617

Phone

(214) 849-3597

Fax

(214) 857-1281

NPI assigned

Apr 27, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265652580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 FERN DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156617",
            "telephone_number": "214-849-3597",
            "fax_number": "214-857-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 FERN DRIVE",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751156617",
            "telephone_number": "214-849-3597",
            "fax_number": "214-857-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "FANNIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Janae Daniel
• Kayla Daniels, DNP, FNP-BC
• Paisley Daniels
• Michelle Renee Darden-Jefferson, D.C.
• Seanna R Daves, MD
• Sanetria Davis
• Daybreak Wellness, PLLC
• Daybreak, Inc. (Devonshire Home)
• Daybreak, Inc. (Prairie Creek)
• Daybreak, Inc. (Daybreak)

• Specialist in Desoto, TX
• Providers in Desoto, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.