Lisa Davis, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

621546 Issued in CA

Practice address

24081 Limb St
Mission Viejo, CA 92691-3710

Phone

(949) 836-1486

NPI assigned

Feb 13, 2009

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1356580369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24081 LIMB ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913710",
            "telephone_number": "949-836-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24081 LIMB ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913710",
            "telephone_number": "949-836-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "621546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamar Rosner Davidson, PA-C
• Heidi L. Davila
• Davis Group Medical Consultants, Inc.
• Brad Christopher Davis
• Linda Marlene Bolling Davis, M.D.
• Stephanie Lynne Davis, PH.D.
• Roman Davydov, LVN
• Ronnie Nathan Dawood, M.D.
• Samantha Day, PT, DPT
• Aaron Larry De la Cruz

• Registered Nurse in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.