Individual provider Active NPI

Christine Elizabeth Davis, RN, BSN, AGNP-C, LMT

  • Occupational Health Nurse Practitioner
  • Greer, SC
National Provider Identifier
1740718378
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
24295 Issued in SC
Practice address
903 Sweet Juliet Way
Greer, SC 29650-4559
Phone
(716) 553-4707
NPI assigned
May 26, 2017
Last updated
Dec 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 24295 SC Primary
Massage Therapist 225700000X 10791 SC

Addresses

Primary practice location

903 Sweet Juliet Way
Greer, SC 29650-4559

Mailing address

901 Sweet Juliet Way
Greer, SC 29650-4559
Phone (716) 553-4707

Other names 1

  • Christine Elizabeth Jeziorski Former name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
10791SCMDMassage Therapist
24295SCMDOccupational Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1740718378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SWEET JULIET WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504559",
            "telephone_number": "716-553-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SWEET JULIET WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504559",
            "telephone_number": "716-553-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "credential": "RN, BSN, AGNP-C, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "SC",
            "license": "24295",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "10791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JEZIORSKI",
            "middle_name": "ELIZABETH",
            "credential": "LPN, RN, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; 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.