Active NPI
Christy L Davis, CERTIFIED LIFESTYLE
- Health Educator
- Jacksonville, FL
National Provider Identifier
1336707264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 4205 Belfort Rd Ste 1005
Jacksonville, FL 32216-5876 - Phone
- (904) 450-6450
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
4205 Belfort Rd Ste 1005
Jacksonville, FL 32216-5876
Mailing address
4205 Belfort Rd Ste 1005
Jacksonville, FL 32216-5876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Christy.davis@ascension.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Ambulatory Care Inc | Health Educator | Past | Accepting new patients |
| St Vincents Ambulatory Care Inc | Past | Accepting new patients |
Interoperability endpoints
- christy.davis@ascension.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Jacksonville, FL
- NPI 1417987124
Health Educator
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1336707264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 1005",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 1005",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322165876",
"telephone_number": "904-450-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTY",
"middle_name": "L",
"credential": "CERTIFIED LIFESTYLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Christy.davis@ascension.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4205 Belfort Rd Ste 1005",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322165876",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.