Hallie Davis

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

84116 Issued in TN

Practice address

608 N Ross St
Boise, ID 83702-3816

Phone

(865) 201-7272

NPI assigned

Sep 27, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2023.

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1487433579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N ROSS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N ROSS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023816",
            "telephone_number": "865-201-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "TN",
            "license": "84116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek C. Davis, D.C.
• Elizabeth A Davis, MD
• Emily Jo Davis, PTA
• Emma Davis
• Genevieve Davis, PH.D.
• Jaimee K Davis, FNP
• Jeffrey K Davis, DDS
• Jenika Davis, LPC
• Jenni S Davis, OTR/L
• John Davis III, LMSW

• All providers in Boise, ID
• Recreation Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.