Melissa Anne Davidson, RN, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

2002832 Issued in FL

Practice address

120 International Pkwy
Suite 220
Lake Mary, FL 32746-5031

Phone

(407) 333-8166

Fax

(407) 333-8928

NPI assigned

Sep 24, 2012

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

• Ms. Melissa Burton Doyle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1497006944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY",
            "address_2": "SUITE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465031",
            "telephone_number": "407-333-8166",
            "fax_number": "407-333-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY",
            "address_2": "SUITE 220",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465031",
            "telephone_number": "407-333-8166",
            "fax_number": "407-333-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "2002832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DOYLE",
            "middle_name": "BURTON",
            "prefix": "MS.",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Arrienda Davadilla, OT
• David Medical LLC
• David W Nussear MD LLC
• William J David, M.D.
• Mackenzie Davidson
• Andrea Gloria Davila
• Michael Joseph Davila, HAS
• Elaina Chavonta Davis
• Glen F. Davis, M.D.
• Kiandra Davis

• Case Management Registered Nurse in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.