Active NPI
Geneva Davis
- Driver
- Bronx, NY
National Provider Identifier
1689049389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 211715933
- Practice address
- 665 Thwaites PL
Suite6F
Bronx, NY 10467-7947 - Phone
- (718) 300-0374
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 211715933 | NY | Primary |
Addresses
Primary practice location
665 Thwaites PL
Suite6F
Bronx, NY 10467-7947
Mailing address
665 Thwaites PL
Suite6F
Bronx, NY 10467-7947
Phone (718) 300-0374
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
| License | State | Type | Specialty |
|---|---|---|---|
| 211715933 | NY | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workforce Housing LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1689049389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 THWAITES PL",
"address_2": "SUITE6F",
"city": "BRONX",
"state": "NY",
"postal_code": "104677947",
"telephone_number": "718-300-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 THWAITES PL",
"address_2": "SUITE6F",
"city": "BRONX",
"state": "NY",
"postal_code": "104677947",
"telephone_number": "718-300-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GENEVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NY",
"license": "211715933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.