Charity Lee Davis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

328195-1 Issued in NY

Practice address

5110 Avalon Court Dr
Melville, NY 11747-8203

Phone

(703) 898-1685

NPI assigned

Jul 13, 2019

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

Other identifiers 1

Electronic endpoints 1

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": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1427600022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LOEFFLER ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175807",
            "telephone_number": "516-943-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 AVALON COURT DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117478203",
            "telephone_number": "703-898-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARITY",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "328195-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brentwood",
            "affiliation": "N",
            "address_1": "5110 Avalon Court Dr",
            "city": "Melville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117478203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David J Weissberg, MD, PC
• Laura Anne Davide, RPA-C
• Rozalina Davidovich, PSY.D
• Staci Leavitt Davidson, RD
• Brittney Davis, RN
• Ellen L Davis, LPCC
• Emelia Louise Davis, BA, MS
• Maria Brianna Davis, LMSW
• Shadane Davis
• Marcia Davy

• Licensed Practical Nurse in Melville, NY
• Providers in Melville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.