Individual provider Active NPI

Virginia Lydia Davis

  • Registered Nurse
  • Newark, DE
National Provider Identifier
1710408356
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L1-0019713 Issued in DE
Practice address
15 Prestbury SQ Ste 14
Newark, DE 19713-2608
Phone
(302) 368-2273
Fax
(302) 368-2213
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X L1-0019713 DE
Community Health Registered Nurse 163WC1500X L1-0019713 DE
Continence Care Registered Nurse 163WC2100X L1-0019713 DE
Cardiac Rehabilitation Registered Nurse 163WC3500X L1-0019713 DE
Diabetes Educator Registered Nurse 163WD0400X L1-0019713 DE
Gerontology Registered Nurse 163WG0600X L1-0019713 DE
Home Health Registered Nurse 163WH0200X L1-0019713 DE
Infection Control Registered Nurse 163WI0600X L1-0019713 DE
Maternal Newborn Registered Nurse 163WM0102X L1-0019713 DE
Nutrition Support Registered Nurse 163WN1003X L1-0019713 DE
Pain Management Registered Nurse 163WP0000X L1-0019713 DE
Pediatric Registered Nurse 163WP0200X L1-0019713 DE
Wound Care Registered Nurse 163WW0000X L1-0019713 DE
Ostomy Care Registered Nurse 163WX1500X L1-0019713 DE
Registered Nurse 163W00000X L1-0019713 DE Primary

Addresses

Primary practice location

15 Prestbury SQ Ste 14
Newark, DE 19713-2608

Mailing address

15 Prestbury SQ Ste 14
Newark, DE 19713-2608
Phone (302) 368-2273

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
L1-0019713DEMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caring N Action Nursing Agency, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710408356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PRESTBURY SQ STE 14",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132608",
            "telephone_number": "302-368-2273",
            "fax_number": "302-368-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PRESTBURY SQ STE 14",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132608",
            "telephone_number": "302-368-2273",
            "fax_number": "302-368-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VIRGINIA",
        "middle_name": "LYDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "DE",
            "license": "L1-0019713",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0019713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.