Natasha Rene Davis, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

041312202 Issued in IL

Practice address

1014 Roberta Dr
Murphysboro, IL 62966-2915

Phone

(618) 201-3917

NPI assigned

Apr 6, 2023

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Natasha Shimp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1487349494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 ROBERTA DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662915",
            "telephone_number": "618-201-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 ROBERTA DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662915",
            "telephone_number": "618-201-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATASHA",
        "middle_name": "RENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041312202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "SHIMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jilian Crane, NP
• Alexis Crescitelli
• Claudia Denise Crews, RPH
• Anita Tallegien Daneshdoost, PT, DPT, MS
• Diane Kaye Davis, MSED, NCC, LCPC
• Jeffrey G. Deterding, RPH
• Developmental Planning & Services Inc (Our Place)
• Zachary Donsbach, PHARM D
• Mark T Donvito, M.D.
• Frederick J Dressen, DO

• Case Management Registered Nurse in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Case Management Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.