Individual provider Active NPI

Jonelle Avril Davis, RRT, RPSGT

  • Contractor
  • St Thomas, VI
National Provider Identifier
1629293550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
305079-305054 Issued in VI
Practice address
9150 Estate Thomas
Suite 306
St Thomas, VI 00802-2611
Phone
(340) 344-3440
Fax
(340) 774-3804
NPI assigned
Apr 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 305079-305054 VI Primary

Addresses

Primary practice location

9150 Estate Thomas
Suite 306
St Thomas, VI 00802-2611

Mailing address

PO Box 8269
St Thomas, VI 00801-1269
Phone (340) 344-3440

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

LicenseStateTypeSpecialty
305079-305054VIMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629293550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8269",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008011269",
            "telephone_number": "340-344-3440",
            "fax_number": "340-774-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 ESTATE THOMAS",
            "address_2": "SUITE 306",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022611",
            "telephone_number": "340-344-3440",
            "fax_number": "340-774-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JONELLE",
        "middle_name": "AVRIL",
        "name_prefix": "Ms.",
        "credential": "RRT, RPSGT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "VI",
            "license": "305079-305054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.