Jennifer Nicohle Davis, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

16422 Issued in OR

Practice address

11950 SE 147TH Ave Ste 105
Happy Valley, OR 97086-3820

Phone

(360) 739-9205

NPI assigned

Dec 7, 2009

Sex

Female

Sole proprietor

Yes

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.

• Complete Health Chiropractic Center, LLC

  • Chiropractor
  • Oregon City, OR
  • NPI 1790824001
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2022.

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1386973121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 SE 147TH AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863820",
            "telephone_number": "360-739-9205",
            "fax_number": "503-557-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 SE 147TH AVE STE 105",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863820",
            "telephone_number": "360-739-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "NICOHLE",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.massagebook.com/Happy_Valley~Massage~jenn-davis",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://www.massagebook.com/Happy_Valley~Massage~jenn-davis",
            "address_1": "11950 SE 147th Ave Ste 105",
            "city": "Happy Valley",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970863820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesse Tyler Crosland, FNP
• Peter Anthony Curcio, RD
• Daniel & Max, LLC
• Barry N. Davis, DO
• Diane M Davis, RN
• Keith Phillip Davis, R.PH.
• Natalie Davis
• Dakota Floyd Davison, OTD
• David Dedrickson
• Kenneth Dell

• All providers in Happy Valley, OR
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.