Sandra Davis, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

689552 Issued in CA

Practice address

713 Stafford St Apt 37
Folsom, CA 95630-2845

Phone

(916) 586-3200

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1730700709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 PALMER CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309548",
            "telephone_number": "916-586-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 STAFFORD ST APT 37",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302845",
            "telephone_number": "916-586-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SANDRA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "689552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ria Dasgupta, M.D.
• Heather Leigh Daughters, MD
• Daniel Hulse Davies, PH.D.
• Maria De Los Angeles Davila
• Lisa Ann Davis
• Theresa M Davis, MFT
• Michael Davitt
• Eric Ara Davtyan
• John M. Dawson, D.P.M.
• Jeanette De Caro, BCHN

• Licensed Vocational Nurse in Folsom, CA
• Providers in Folsom, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.