Vishalla Davis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

D120-8777-7955-01 Issued in WI

Practice address

2533 W Auer Ave
Milwaukee, WI 53206-1223

Phone

(414) 243-9434

NPI assigned

Nov 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258156800000",
    "number": "1396072153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 W AUER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061223",
            "telephone_number": "414-243-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 W AUER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061223",
            "telephone_number": "414-243-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VISHALLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "WI",
            "license": "D120-8777-7955-01",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WI",
            "license": "D120-8777-7955-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richam R Davis, MS
• Robert Davis II, RD, CD
• Sakyra Davis
• Shadonna Reanea Davis, L.P.N.
• Tonia M Davis
• Wendy S Davis, PA-C
• Whitt Lavon Davis, DO
• Zenobia Lashawn Davis, RDH
• Kristine Erin Davison
• Leslie Davison

• Community Health Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community Health Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.