Mike Davis, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95127365 Issued in CA

Practice address

2633 E 27TH St
Gladman MHRC
Oakland, CA 94601

Phone

(510) 536-8111

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1548928484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 MAGNOLIA ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084414",
            "telephone_number": "415-308-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E 27TH ST",
            "address_2": "GLADMAN MHRC",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94601",
            "telephone_number": "510-536-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MIKE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95127365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "midavis@telecarecorp.com",
            "affiliation": "N",
            "endpointDescription": "Secure email portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2633 E 27th St",
            "address_2": "Gladman MHRC",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lowell Bruce Davis, DDS, MS
• Marlisa Davis
• Megan A Davis, MSW, LCSW
• Michael Davis
• Michelle Nicole Davis, LCSW
• Muntu Ramel Davis, M.D.
• Paris Davis
• Purnell G Davis Jr., DDS.
• Raymond L Davis, MD
• Robert R. Davis, MD

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.