Michelle Jacinda Davis, CTRS, VHA-CM

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

1601 SW Archer Rd # 11I
Gainesville, FL 32608-1135

Phone

(352) 264-7361

Fax

(352) 264-3873

NPI assigned

May 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1639556947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD # 11I",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-264-7361",
            "fax_number": "352-264-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD # 11I",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-264-7361",
            "fax_number": "352-264-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "JACINDA",
        "name_prefix": "Ms.",
        "credential": "CTRS, VHA-CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Elliott Davis, D.D.S.
• Matthew James Davis
• Meghan Davis
• Michael Bligh Davis, DO
• Michael K Davis Jr., MD
• Pamelia Jean Davis, RN
• Patria A Davis, LPN
• Richard H. Davis Jr., PA-C
• Sandra Ellen Davis, P.T.
• Saquanna Davis

• Recreation Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Recreation Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.