Active NPI
Wendy Davis, RN
- Registered Nurse
- Spring, TX
National Provider Identifier
1427789247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 706571
- Practice address
- 4014 Fir Forest Dr
Spring, TX 77388-4938 - Phone
- (281) 783-9114
- NPI assigned
- Jun 22, 2022
- Last updated
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 706571 | TX | Primary |
| Case Management Registered Nurse | 163WC0400X | 4212001 | TX | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
4014 Fir Forest Dr
Spring, TX 77388-4938
Mailing address
18482 Kuykendahl Rd Ste 108
Spring, TX 77379-8123
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | contact@omegaseniorllc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706571 | TX | MD | Registered Nurse |
| 4212001 | TX | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1427789247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18482 KUYKENDAHL RD STE 108",
"city": "SPRING",
"state": "TX",
"postal_code": "773798123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 FIR FOREST DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773884938",
"telephone_number": "281-783-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WENDY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "706571",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "4212001",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "contact@omegaseniorllc.com",
"affiliation": "N",
"address_1": "4014 Fir Forest Dr",
"city": "Spring",
"state": "TX",
"country_code": "US",
"postal_code": "773884938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.