Shonta Denise Davis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

13102694122 Issued in KS

Practice address

14460 W 121St Ter
Olathe, KS 66062-6056

Phone

(913) 390-8211

NPI assigned

Oct 23, 2009

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 names 1

• Shonta Denise Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1295061463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 W 121ST TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626056",
            "telephone_number": "913-390-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 W 121ST TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660626056",
            "telephone_number": "913-390-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHONTA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13102694122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHONTA",
            "last_name": "DAVIS",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Mark Davis, LMFT
• Joshua Tyler Davis
• Kimberly R Davis, RN
• Mishawn Davis
• Nanette D Davis
• Silvia E. Davis, PTA
• Tanya Davis, RN
• Willie Bob Davis, ME
• Chris C Davlantes, MD
• Michael P Davoren, M.D.

• Registered Nurse in Olathe, KS
• Providers in Olathe, KS by specialty
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.