Individual provider Active NPI

Trischel Davis

  • Specialist
  • Avondale, LA
National Provider Identifier
1689342347
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1526677 Issued in TX
Practice address
561 Phyllis Dr
Avondale, LA 70094-2927
Phone
(150) 434-2977
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1526677 TX Primary

Addresses

Primary practice location

561 Phyllis Dr
Avondale, LA 70094-2927

Mailing address

561 Phyllis Dr
Avondale, LA 70094-2927
Phone (150) 434-2977

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
1526677TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Extensions of You Mastectomy Boutique CurrentSince Jul 1, 2023 Accepting new patients
Extensions & Flow Salon CurrentSince Jul 1, 2023 Accepting new patients

Locations

4621 W Napoleon Ave
Ste 105
Metairie, LA 70001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1689342347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 PHYLLIS DR",
            "city": "AVONDALE",
            "state": "LA",
            "postal_code": "700942927",
            "telephone_number": "150-434-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 PHYLLIS DR",
            "city": "AVONDALE",
            "state": "LA",
            "postal_code": "700942927",
            "telephone_number": "150-434-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRISCHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1526677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.