Individual provider Active NPI

Jennifer S Davis, NP

  • Adult Health Nurse Practitioner
  • Muncie, IN
National Provider Identifier
1487833109
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001185A Issued in IN
Practice address
Ball State University Student Health Center
1500 Neely Ave.
Muncie, IN 47306-0001
Phone
(765) 285-8971
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001185B IN
Adult Health Nurse Practitioner 363LA2200X 71001185A IN Primary

Addresses

Primary practice location

Ball State University Student Health Center
1500 Neely Ave.
Muncie, IN 47306-0001

Mailing address

Ball State University Student Health Center
1500 Neely Avenue
Muncie, IN 47306-0001
Phone (765) 285-8971

Other names 1

  • Jennifer A Schneider Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71001185BINMDNurse Practitioner
71001185AINMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jsdavis@direct.iuhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1487833109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BALL STATE UNIVERSITY STUDENT HEALTH CENTER",
            "address_2": "1500 NEELY AVENUE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060001",
            "telephone_number": "765-285-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALL STATE UNIVERSITY STUDENT HEALTH CENTER",
            "address_2": "1500 NEELY AVE.",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060001",
            "telephone_number": "765-285-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001185B",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001185A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHNEIDER",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.