Active NPI
Sabrina Davis
- Licensed Practical Nurse
- Raleigh, NC
National Provider Identifier
1598418691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 67558
- Practice address
- 817 Oxen Cir
Raleigh, NC 27603-9165 - Phone
- (919) 801-3958
- NPI assigned
- Jan 28, 2022
- Last updated
- Mar 19, 2024
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 67558 | NC | Primary |
Addresses
Primary practice location
817 Oxen Cir
Raleigh, NC 27603-9165
Mailing address
817 Oxen Cir
Raleigh, NC 27603-9165
Phone (919) 801-3958
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 |
|---|---|---|---|
| 67558 | NC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1598418691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 OXEN CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276039165",
"telephone_number": "919-801-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 OXEN CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276039165",
"telephone_number": "919-801-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SABRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "67558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.