Individual provider Active NPI

Cherie Jeanine Davis-Jackson, R.N. MSN FNP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1659444594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252206 Issued in CA
Practice address
7001-A East Parkway
Public HLTH Services-Admin. Ste. # 500
Sacramento, CA 95823-2034
Phone
(916) 875-5701
Fax
(916) 875-6366
NPI assigned
Nov 16, 2006
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
Family Nurse Practitioner 363LF0000X 252206 CA Primary

Addresses

Primary practice location

7001-A East Parkway
Public HLTH Services-Admin. Ste. # 500
Sacramento, CA 95823-2034

Mailing address

14745 Guadalupe Dr
Rancho Murieta, CA 95683-9438
Phone (916) 354-0743

Other names 1

  • Mrs. Cherie Jeanine Davis Former name

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
252206CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659444594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14745 GUADALUPE DR",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839438",
            "telephone_number": "916-354-0743",
            "fax_number": "916-354-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001-A EAST PARKWAY",
            "address_2": "PUBLIC HLTH SERVICES-ADMIN. STE. # 500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232034",
            "telephone_number": "916-875-5701",
            "fax_number": "916-875-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-JACKSON",
        "first_name": "CHERIE",
        "middle_name": "JEANINE",
        "name_prefix": "Mrs.",
        "credential": "R.N. MSN  FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "252206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "DAVIS",
            "middle_name": "JEANINE",
            "prefix": "MRS.",
            "credential": "R.N. MSN FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

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.