Shaina Davis, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11026836 Issued in FL

Practice address

200 Page Bacon Rd Apt 4111
Mary Esther, FL 32569-1767

Phone

(850) 979-4745

NPI assigned

Jun 8, 2023

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

State licenses

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1417641648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PAGE BACON RD APT 4111",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691767",
            "telephone_number": "850-979-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PAGE BACON RD APT 4111",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691767",
            "telephone_number": "850-979-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHAINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11026836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecil Douglas Cox, M.D.
• Amanda Dale, RBT
• Elizabeth Daly
• Tiffany Nicole Danh
• Annetta M. G. Davenport, LMHC
• Tracy-Ann Tameika Davis
• Kristen Holly Dickens
• Dr. McGuire, NP LLC (New Hope Mental Health and Wellness)
• Ashley Rayan Driver-Bryant
• Viveca L Durant-Amos

• Family Medicine Physician in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.