Jade Davis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT129868 Issued in TX

Practice address

1807 N Graves St
McKinney, TX 75069-3423

Phone

(214) 428-5752

NPI assigned

Aug 11, 2022

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

Other names 1

• Jade Davis Professional 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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1306574843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15905 BENT TREE FOREST CIR APT 1062",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752487052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N GRAVES ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693423",
            "telephone_number": "214-428-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JADE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT129868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR",
            "identifier": "MT129868",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "DAVIS",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alison Davis, MA, LPC
• Amy Davis
• Ariel Lake Davis, M.ED, LPC
• Christine English Davis, LPC
• Crystal Davis, RBT
• Joann Gayle Davis, MS, LPC, NCC
• Kara Davis, M.A, BCBA
• Kathleen Avery Davis, LCSW
• Kathryn Noel Davis, PA-C
• Marla Davis

• Massage Therapist in McKinney, TX
• Providers in McKinney, TX by specialty
• Massage Therapist in Texas

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

Verify at the official NPI Registry.