Organization Active NPI

Myers Davis Life Coaching, Inc

  • In Home Supportive Care Agency
  • Batesville, AR
National Provider Identifier
1477144103
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MYERS DAVIS LIFE COACHING, INC
Practice address
1141 E Main St Ste 102
Batesville, AR 72501-3000
Phone
(870) 569-1052
Fax
(870) 569-8130
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Angela Davis, CPLC
Title
President
Phone
(870) 569-1052

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
School Counselor 101YS0200X
In Home Supportive Care Agency 253Z00000X Primary
Local Education Agency (LEA) 251300000X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1141 E Main St Ste 102
Batesville, AR 72501-3000

Mailing address

1141 E Main St Ste 102
Batesville, AR 72501-3000
Phone (870) 569-1052

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.myersdavis.com/ Direct

National Provider Directory

National Provider Directory

Locations

1141 E Main St
Ste 102
Batesville, AR 72501
Phone (870) 569-1052

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1477144103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 E MAIN ST STE 102",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013000",
            "telephone_number": "870-569-1052",
            "fax_number": "870-569-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E MAIN ST STE 102",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013000",
            "telephone_number": "870-569-1052",
            "fax_number": "870-569-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS DAVIS LIFE COACHING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-569-1052",
        "authorized_official_credential": "CPLC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.myersdavis.com/",
            "affiliation": "N",
            "endpointDescription": "Angela's Desktop PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1141 E Main St Ste 102",
            "city": "Batesville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725013000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.