Individual provider Active NPI

Darlene Kay Davis, RN/ FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stanton, CA
National Provider Identifier
1477645752
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14415 Issued in CA
Practice address
10800 Dale Ave SPC 709
Stanton, CA 90680-8014
Phone
(714) 425-4868
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 456956 CA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 456956 CA
Family Nurse Practitioner 363LF0000X 45695614415 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14415 CA Primary

Addresses

Primary practice location

10800 Dale Ave SPC 709
Stanton, CA 90680-8014

Mailing address

10800 Dale Ave SPC 709
Stanton, CA 90680-8014
Phone (714) 425-4868

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

LicenseStateTypeSpecialty
456956CAMDAdult Psychiatric/Mental Health Registered Nurse
14415CAMDAcupuncturist
45695614415CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1477645752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 DALE AVE SPC 709",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906808014",
            "telephone_number": "714-425-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 DALE AVE SPC 709",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906808014",
            "telephone_number": "714-425-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARLENE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "RN/ FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "456956",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "456956",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "45695614415",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "14415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.