Nicole Lynn Davis, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2018029156 Issued in MO

Practice address

128 N Hardesty Ave
Kansas City, MO 64123-1404

Phone

(816) 241-2020

NPI assigned

May 28, 2019

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

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.

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1508423385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 SW GRANITE LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824846",
            "telephone_number": "816-721-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N HARDESTY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641231404",
            "telephone_number": "816-241-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2018029156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Davis
• Madison Davis
• Michele Linnette Davis, FNP
• Moniece Davis, LPN
• Nadine Davis, CRNA
• Patricia Ann Davis
• Roy Clarence Davis
• Shelby Allison Davis, FNP-C
• Stacey Dawn Davis, LCPC
• Tara Davis, LCSW

• Occupational Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.