Sheila Rae Davis, BS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2300 Northpoint Pkwy
Santa Rosa, CA 95407-5004

Phone

(707) 571-5581

Fax

(707) 571-5531

NPI assigned

May 23, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Buckelew Programs

  • Case Management Agency
  • Santa Rosa, CA
  • NPI 1518012020
  NPD (past)

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1538506050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NORTHPOINT PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075004",
            "telephone_number": "707-571-5581",
            "fax_number": "707-571-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NORTHPOINT PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075004",
            "telephone_number": "707-571-5581",
            "fax_number": "707-571-5531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021140",
            "country_code": "US",
            "telephone_number": "503-548-0346",
            "fax_number": "503-232-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHEILA",
        "middle_name": "RAE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704129",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Davis, MD
• Michelle Lyn Davis
• Mitchell R Davis
• Richard Alan Davis, DDS
• Sharon Davis
• Karen Rae Daw
• Jess Daniel Dawdy
• Alanna Dawkins
• Bonnie Jean Day, NP
• Jillian Day, AMFT

• Mental Health Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.