Danielle Davis, ATC, LAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

0126002050 Issued in VA

Practice address

2902 E Washington Ave
William Byrd High School
Vinton, VA 24179-1314

Phone

(540) 890-3090

NPI assigned

Oct 25, 2013

Last updated

Oct 25, 2013By 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

State licenses

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1821426073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BEVERLY CT",
            "address_2": "APT 5",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503386",
            "telephone_number": "732-991-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E WASHINGTON AVE",
            "address_2": "WILLIAM BYRD HIGH SCHOOL",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241791314",
            "telephone_number": "540-890-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0126002050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Virginia State Board of Health (Roanoke County/Vinton Health Department)
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• Specialist in Vinton, VA
• Providers in Vinton, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.