Active NPI
Janice O Davie, RD
- Health Educator
- Franklin, WI
National Provider Identifier
1720123334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 7095 S Ballpark Dr
Franklin, WI 53132-6908 - Phone
- (414) 224-9622
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 167 | WI | |
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
7095 S Ballpark Dr
Franklin, WI 53132-6908
Mailing address
3658 W Cypress LN
Franklin, WI 53132-8782
Phone (414) 364-3816
Other practice location 1
3658 W Cypress Ln
Franklin, WI 53132-8782
Phone (414) 364-3816
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1720123334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 W CYPRESS LN",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531328782",
"telephone_number": "414-364-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7095 S BALLPARK DR",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531326908",
"telephone_number": "414-224-9622"
}
],
"practiceLocations": [
{
"address_1": "3658 W Cypress Ln",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "WI",
"postal_code": "531328782",
"country_code": "US",
"telephone_number": "414-364-3816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIE",
"first_name": "JANICE",
"middle_name": "O",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "167",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.