Alena Davis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN201572 Issued in AZ

Practice address

10965 E Peralta Rd
Apache Junction, AZ 85118-4799

Phone

(480) 677-7542

Fax

(480) 288-4490

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 24, 2016.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1508317637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 E PERALTA RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851184799",
            "telephone_number": "480-677-7542",
            "fax_number": "480-288-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 E PERALTA RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851184799",
            "telephone_number": "480-677-7542",
            "fax_number": "480-288-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALENA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN201572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS/Pharmacy #9293
• Samantha Lynn Dalley
• Alexander A Darmawaskita, SLPA
• David V Curtis
• Abby Davis
• Gregg D. Davis, D.C.
• Mikaela Ariel Deans, FNP
• Lori Ann Delabio, COTA/L
• Dental One, Inc.
• Dentists of Apache Junction, LLP

• All providers in Apache Junction, AZ
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.