Active NPI
Nancy Barbara Davidson, R.N., P.H.N.
- Case Management Registered Nurse
- Vallejo, CA
National Provider Identifier
1346450681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 227219
- Practice address
- 355 Tuolumne St
Vallejo, CA 94590-5700 - Phone
- (707) 553-5402
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 227219 | CA | Primary |
Addresses
Primary practice location
355 Tuolumne St
Vallejo, CA 94590-5700
Mailing address
1221 Lewis Ave
Vallejo, CA 94591-8083
Phone (707) 553-9472
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227219 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346450681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 LEWIS AVE",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918083",
"telephone_number": "707-553-9472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 TUOLUMNE ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905700",
"telephone_number": "707-553-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "NANCY",
"middle_name": "BARBARA",
"credential": "R.N., P.H.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "227219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.