Joanna Mae Davis, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

779934 Issued in CA

Practice address

150 Muir Rd
Martinez, CA 94553-4668

Phone

(925) 370-4704

NPI assigned

Oct 11, 2017

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

Other names 1

• Joanna Mae Davis Former name

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1699285007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 CENTRAL LN",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956949605",
            "telephone_number": "530-771-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MUIR RD",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534668",
            "telephone_number": "925-370-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOANNA",
        "middle_name": "MAE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "779934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "DAVIS",
            "middle_name": "MAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas B. Dasilva, DPM
• Breanna Davaran
• Heather Davenport, MA, LMFT#101616
• Pui Yee Davidson, R.N., B.S.N., P.H.N.
• Destini Davis
• Joy Chidinma Davis, RN
• Laurena Christine Davis
• Jordan Michelle Daylor, PHD
• Amparo De Anda, MFT
• Laura De la Torre, RN, NP

• General Practice Registered Nurse in Martinez, CA
• Providers in Martinez, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.