Danielle Davis, ATC, LAT
Individual provider Active NPI Specialist · Vinton, VA
NPI 1821426073 · NPPES record last updated Oct 25, 2013
Key facts
- NPI
- 1821426073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0126002050 (VA)
- Practice address
- 2902 E Washington Ave
William Byrd High School
Vinton, VA 24179-1314 - Phone
- (540) 890-3090
- NPI assigned
- Oct 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002050 | VA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0126002050 | VA | Yes |
Addresses
Primary practice location
2902 E Washington Ave
William Byrd High School
Vinton, VA 24179-1314
Mailing address
25 Beverly CT
Apt 5
Lexington, VA 24450-3386
Phone (732) 991-5916
Other providers in Vinton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.