Melissa Nicole Davis, RN/LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

612515-1 Issued in NY

Practice address

252 Forest Edge Dr
East Amherst, NY 14051-1268

Phone

(716) 510-6899

NPI assigned

Jan 22, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568516029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 FOREST EDGE DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511268",
            "telephone_number": "716-510-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 FOREST EDGE DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511268",
            "telephone_number": "716-510-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN/LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "612515-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "254195-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelino Fabian D'Souza, MD
• Dominic Dalfonso, PT
• Andrea G Dan, LMSW
• Ping Dang
• Nicholas Robert Davidson, PT
• Kathleen Mary Debellis
• Deberg Enterprises, LLC (AURA salt cave and wellness)
• Alison Rose Decirce, D.P.T.
• Yvonne Cabrera Deppe, R.N.
• Kalindi Desai, O.D.

• Registered Nurse in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.