Emily Davis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0067095 Issued in OK

Practice address

411 S Central Ave
Idabel, OK 74745-6059

Phone

(580) 286-7876

Fax

(580) 286-5721

NPI assigned

Mar 31, 2017

Sex

Female

Sole proprietor

No

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, last updated by the provider on Mar 31, 2017.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1407388259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S HIGH ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233818",
            "telephone_number": "580-298-2830",
            "fax_number": "580-298-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S CENTRAL AVE",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747456059",
            "telephone_number": "580-286-7876",
            "fax_number": "580-286-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0067095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744370",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Crowe
• Dee Anne Crusoe
• Zendre Chemounn Crutchfield
• Krystin Leigh Cunningham
• Cassidy Wray Davis, PHARM.D.
• Melody Dedmon, RD
• Alexandria Jade Delozier, PHD
• Gary Lynn Dennington, DDS
• Isabella Dibucci
• Hayley Dollarhide, APRN, FNP-C

• All providers in Idabel, OK
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.