Shelbi Juan Ice Davis

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2402 Robin RDG
Enid, OK 73703-6419

Phone

(580) 366-9799

NPI assigned

Aug 25, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1699494203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 ROBIN RDG",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737036419",
            "telephone_number": "590-366-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 ROBIN RDG",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737036419",
            "telephone_number": "580-366-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHELBI",
        "middle_name": "JUAN ICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Denise Davenport, R.P.T.
• Kelly D Davie
• Chelsea Davis
• Karen Joye Davis, BHRS
• Mike Davis, CADC
• Deborah C. May, PHD, PLLC
• Shirley Lynn Deck, BHRS
• Roberta Dehaas
• Chantel Delaware
• Van Dale Demille, DDS

• Counselor in Enid, OK
• Providers in Enid, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.