Derricka A Davis

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

6505 Old Branch Ave Ste B1
Temple Hills, MD 20748-2603

Phone

(202) 497-5454

NPI assigned

Jul 21, 2021

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

Other names 1

• Reka Davis Other name

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1801469465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 OLD BRANCH AVE STE B1",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482603",
            "telephone_number": "202-497-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 OLD BRANCH AVE STE B1",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482603",
            "telephone_number": "202-497-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DERRICKA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REKA",
            "last_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Sharron Danson
• Jemila Darku
• Barbara Naadu Davies-Pugh, LPTA
• Leslie Jean Davis-Groom
• Andrea Wair Davis
• Kimberly A Davis, LPC
• Raphael Joshua Denbow II, PT
• Doris Denmon
• Dental Associates of Greater Maryland
• Dental Pearls P.a.

• Health & Wellness Coach in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Health & Wellness Coach in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.