Individual provider Active NPI

Michelle L Davis

  • Home Modifications Contractor
  • Front Royal, VA
National Provider Identifier
1336988633
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
2705115279A Issued in VA
Practice address
33 Peyton St Ste a
Front Royal, VA 22630-3342
Phone
(540) 551-9990
NPI assigned
May 24, 2024
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 2705115279A VA Primary

Addresses

Primary practice location

33 Peyton St Ste a
Front Royal, VA 22630-3342

Mailing address

33 Peyton St Ste a
Front Royal, VA 22630-3342
Phone (540) 551-9990

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

State licenses

LicenseStateTypeSpecialty
2705115279AVAMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Construction & Remodeling LLC Home Modifications CurrentSince Jun 30, 2024 Accepting new patients

Locations

33 Peyton St
#A
Front Royal, VA 22630
Phone (540) 551-9990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1336988633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PEYTON ST STE A",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303342",
            "telephone_number": "540-551-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PEYTON ST STE A",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303342",
            "telephone_number": "540-551-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705115279A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.