Shannon Elizabeth Davis

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

730716 Issued in CA

Practice address

1111 W Inyokern Rd Ste B
Ridgecrest, CA 93555-2370

Phone

(760) 382-7390

NPI assigned

Sep 16, 2024

Sex

Female

Sole proprietor

No

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1417784356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W INYOKERN RD STE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552370",
            "telephone_number": "760-382-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W INYOKERN RD STE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552370",
            "telephone_number": "760-382-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "730716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunit Dalal
• Hoang Anh Dang
• Daniel H. Mallory, O.D.
• Brian Lory Danielsson, DDS
• Karen Elizabeth Davin, NP
• Sue Marie Davis
• John De Geus, M.D.
• Julie De Jesus
• Mia Sophia De la Torre
• Richard Deamer, M.D.

• Licensed Vocational Nurse in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.