Active NPI
Simone Nicole Davis
- Registered Nurse
- Northglenn, CO
National Provider Identifier
1528451259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 195569
- Practice address
- 1474 W 103Rd PL
Northglenn, CO 80260-7116 - Phone
- (720) 483-3556
- NPI assigned
- Mar 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 195569 | CO | Primary |
Addresses
Primary practice location
1474 W 103Rd PL
Northglenn, CO 80260-7116
Mailing address
1474 W 103Rd PL
Northglenn, CO 80260-7116
Phone (720) 483-3556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195569 | Other | CO | REGISTERED NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195569 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425427200000",
"number": "1528451259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1474 W 103RD PL",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802607116",
"telephone_number": "720-483-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 W 103RD PL",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802607116",
"telephone_number": "720-483-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SIMONE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "195569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "195569",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.