Active NPI
Jessica Davies, B.S., CNIM
- Electroneurodiagnostic Specialist/Technologist
- Dallas, TX
National Provider Identifier
1558793166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 2696
- Practice address
- 10440 N Central Expy
Ste 1230
Dallas, TX 75231-2221 - Phone
- (972) 835-3454
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 2696 | TX | Primary |
Addresses
Primary practice location
10440 N Central Expy
Ste 1230
Dallas, TX 75231-2221
Mailing address
816 Golden Bear LN
McKinney, TX 75070-8951
Phone (214) 384-0730
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2696 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1558793166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 GOLDEN BEAR LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750708951",
"telephone_number": "214-384-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 N CENTRAL EXPY",
"address_2": "STE 1230",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312221",
"telephone_number": "972-835-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "JESSICA",
"credential": "B.S., CNIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "2696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.