Julianne Susan Davis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

098003059RN Issued in OR

Practice address

1900 E Fulton St
Newberg, OR 97132-1806

Phone

(503) 538-2108

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1679215529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5558 LANDON ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062596",
            "telephone_number": "564-208-1958",
            "fax_number": "360-735-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E FULTON ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321806",
            "telephone_number": "503-538-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIANNE",
        "middle_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "098003059RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Newberg",
            "affiliation": "N",
            "address_1": "1900 E Fulton St",
            "city": "Newberg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971321806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Winchester Davenport, M.D.
• Bryn E Davies, PNP
• Teresa Davigo, PH.D.
• Autumn Marie Irons Davis, MA
• Jamie Davis, MA, CCC-SLP
• Natalie Davis, L.M.T
• Shaun L Davis, PSYD
• Joeine Catherine De Kar
• Juliette Olivia Deacon
• Dean Pediatric Psychology, LLC

• Registered Nurse in Newberg, OR
• Providers in Newberg, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.