Susan Davis, VN 689931

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN689931 Issued in CA

Practice address

2107 Cypress St
Lancaster, CA 93535-1759

Phone

(661) 974-0785

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

Yes

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1518655661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 CYPRESS ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351759",
            "telephone_number": "661-974-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 CYPRESS ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351759",
            "telephone_number": "661-974-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "credential": "VN 689931",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN689931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Davis, LVN
• Graham Thomas Joseph Davis, AA
• James Davis
• Kendra Davis
• Nancy Davis, BA
• Christa Faith Davison, FNP
• Melanie Fay Dawes, M.D.
• Candace April Dawkins
• William Dawson
• Frankie Day

• Licensed Vocational Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.