Shanica Davis, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

545379 Issued in CA

Practice address

3400 Aero Jet Ave FL 3
El Monte, CA 91731-2803

Phone

(626) 569-6149

NPI assigned

Jan 30, 2008

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1659558799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 AERO JET AVE FL 3",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312803",
            "telephone_number": "626-569-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 AERO JET AVE FL 3",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312803",
            "telephone_number": "626-569-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANICA",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "545379",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kutner DMD a Dental Group
• Adam Davidosky
• Carlos Davila, PHARMD
• Vanessa Davila
• Nicole Davis
• Venetta Evon Davis
• Bianca De Anda
• Ignacio De Artola Jr., M.D.
• Valerie I De Guzman, LVN
• De la Pena Eye Clinic, a Medical Group Inc.

• Case Management Registered Nurse in El Monte, CA
• Providers in El Monte, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.