Tara Nicole Davis

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

64978 Issued in CA

Practice address

1140 Central Ave Apt 3
Riverside, CA 92507-6265

Phone

(310) 728-9001

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1770317273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56391",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925171291",
            "telephone_number": "310-728-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CENTRAL AVE APT 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076265",
            "telephone_number": "310-728-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "64978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oriana M Davis
• Renee Colleen Davis, LMFT
• Sandra Ann Davis
• Sarah Denise Davis
• Stephanie Marie Davis, M.A.
• Taylor Davis
• Teya Davis
• Thomas Lloyd Davis, MD
• Tjera Davis
• Tjhomas M Davis

• Massage Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.