Active NPI
Ty-Renai Davis
- Doula
- Las Vegas, NV
National Provider Identifier
1790185643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 3555 E Lake Mead Blvd
Las Vegas, NV 89115-6385 - Phone
- (702) 900-8001
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
3555 E Lake Mead Blvd
Las Vegas, NV 89115-6385
Mailing address
3555 E Lake Mead Blvd
Las Vegas, NV 89115-6385
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Academy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- North Las Vegas, NV
- NPI 1952744559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1790185643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 E LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891156385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 E LAKE MEAD BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891156385",
"telephone_number": "702-900-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TY-RENAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.