Active NPI
Nathaniel Davis, R.N.
- Registered Nurse
- Blacksburg, VA
National Provider Identifier
1699966283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001201224
- Practice address
- 125 N Main St
Suite 500, PMB 262
Blacksburg, VA 24060-3950 - Phone
- (540) 392-2579
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001201224 | VA | Primary |
Addresses
Primary practice location
125 N Main St
Suite 500, PMB 262
Blacksburg, VA 24060-3950
Mailing address
125 N Main St
Suite 500, PMB 262
Blacksburg, VA 24060-3950
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001201224 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1699966283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N MAIN ST",
"address_2": "SUITE 500, PMB 262",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240603950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N MAIN ST",
"address_2": "SUITE 500, PMB 262",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240603950",
"telephone_number": "540-392-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NATHANIEL",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001201224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
- Ranadheer Vinayakmurthy Danturthy, MBBS
- David a. Wallace, DDS, Ms, LTD.
- David B. Stoeckle, M.D., P.a., P.C. (New River Surgical Associates)
- David J Hedges MD PC (Eye Surgery Associates of SWVA)
- Amy Davis, ATC
- Sarah Davis, LCSW
- Trent Alan Davis, PHD
- Tabitha Dehart
- Kylie Delpercio, LCSW
- Donald Michael Denbow, PH.D., LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.