William Pierre Davis

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

2657 Vivian St
Shreveport, LA 71108-2742

Phone

(318) 658-0227

NPI assigned

Aug 14, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A-1 in Home Services

  • Mental Illness Community Based Residential Treatment Facility
  • Shreveport, LA
  • NPI 1144106972

  Community Based Residential Treatment Facility, Mental Illness

  NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1497587802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARONDELET DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711093917",
            "telephone_number": "318-658-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 VIVIAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711082742",
            "telephone_number": "318-658-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "PIERRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonquanisia Davis
• Sonya Yvette Davis
• Tammy Jill Davis, M.D.
• Tricia T Davis, PA-C
• Vanessa Laverne Davis, MHS
• Lisa Davison, LOTR
• Matthew Davison
• Thomas Davison
• Munira Dawith, MD
• Felecia Dawson

• Emotionally Disturbed Childrens' Residential Treatment Facility in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.