Jacqueline Davis

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

500 Jefferson Blvd
Suite B
West Sacramento, CA 95605-2350

Phone

(530) 204-9678

NPI assigned

Mar 9, 2016

Last updated

Mar 9, 2016By 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

Other names 1

• Jackie Davis Other name

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1295196996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD",
            "address_2": "SUITE B",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052350",
            "telephone_number": "530-204-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD",
            "address_2": "SUITE B",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052350",
            "telephone_number": "530-204-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa Ann Dalke
• Jessica Daly
• Louis Dang, D.D.S.
• Joseph Darosa
• Amanda Elaine Davis, NP
• Jasmin Davis, LVN
• Tia Davis, LMFT
• Jennet Espinosa Dayrit, RN
• Dci Donor Services Inc. (Sierra Donor Services)
• Venus De Coy, MA

• Counselor in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.