Active NPI
Jamineka Davis
- Adult Companion
- Charlotte, NC
National Provider Identifier
1710242698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 157421
- Practice address
- 7942 Shiny Meadow LN
Charlotte, NC 28215-5066 - Phone
- (704) 712-6959
- NPI assigned
- Jul 6, 2012
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 157421 | NC | Primary |
Addresses
Primary practice location
7942 Shiny Meadow LN
Charlotte, NC 28215-5066
Mailing address
7942 Shiny Meadow LN
Charlotte, NC 28215-5066
Phone (704) 712-6959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157421 | Medicaid | NC |
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 |
|---|---|---|---|
| 157421 | NC | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1710242698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7942 SHINY MEADOW LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155066",
"telephone_number": "704-712-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7942 SHINY MEADOW LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282155066",
"telephone_number": "704-712-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMINEKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "157421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157421",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.