Lisa Davies, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2010024466 Issued in MO

Practice address

9915 Kennerly Rd # J
Saint Louis, MO 63128-2703

Phone

(314) 843-4794

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1336454008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 KENNERLY RD # J",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282703",
            "telephone_number": "314-843-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 KENNERLY RD # J",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282703",
            "telephone_number": "314-843-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2010024466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Davidson
• Nicholas O Davidson, MD
• Stewart Matthew Davidson, MD
• Kristin Erin Davie, CRNA
• Ruth Davies Sulser, PH.D.
• Anthony Davila, MD
• Rosa Maria Davila, MD
• Victor G Davila, MD
• Davis Health Group LLC
• Davis Pain & Injury Rehabilitation LLC

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.