Shantia Shaqwana Daviss

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

310 Bratton Dr Ste a
Garner, NC 27529-7827

Phone

(919) 307-3550

NPI assigned

Apr 15, 2025

Last updated

Apr 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1720874050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 TRUITTVILLE ST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295992",
            "telephone_number": "919-698-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BRATTON DR STE A",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297827",
            "telephone_number": "919-307-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISS",
        "first_name": "SHANTIA",
        "middle_name": "SHAQWANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nicole Davis, PHARMD
• Julia Davis
• Katherine Davis
• Meredith Alyssa Davis, LCSWA
• William Adword Davis IV
• Gretchen Dawson, AGPCNP-BC
• Dayne Delabastide, PA-C
• Frank Rudolph Delorenzo, DO
• Lauren Elizabeth Demoss, OTR/L
• Stephen Depasquale

• Technician in Garner, NC
• Providers in Garner, NC by specialty
• Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.