Carmen Rene Davis, MSN, RN, CCRN, CNS-B

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

28145460 Issued in IN

Practice address

550 University Blvd # Uh6611
Indianapolis, IN 46202-5149

Phone

(317) 948-0353

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1457090342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8467 CLEW CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368957",
            "telephone_number": "317-696-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD # UH6611",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-948-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CARMEN",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CCRN, CNS-B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "2009009583",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28145460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Davis, ANP-BC
• Brittany Davis
• Brittany Davis
• Brittany Davis, PTA
• Camryn Sinclaire Davis, MD
• Chad J Davis, M.D.
• Charlene H Davis, NP
• Chloe Channing Davis, PT, DPT, LAT, ATC
• Cleaster Davis Sr., SOCIAL WORKER
• Cynthia G. Davis, LCSW

• All providers in Indianapolis, IN
• Critical Care Medicine Registered Nurse in Indiana

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

Verify at the official NPI Registry.