Virginia Davidson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN124479 Issued in LA

Practice address

701 Loyola Ave
New Orleans, LA 70113-1912

Phone

(504) 558-9595

NPI assigned

Mar 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: virginia.davidson.1@24259.direct.athenahealth.com

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.

• Mindful Concepts and Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1891515284
  NPD Authorized official
• Behavioral Health Solutions of Arizona PLLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1265357495
  NPD (past)

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1821556598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N 173RD AVE APT 163",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381841",
            "telephone_number": "985-212-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LOYOLA AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131912",
            "telephone_number": "504-558-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "267918",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN124479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larick S David
• Trent Davidge
• Amber Nicole Davidson
• Eureka Davidson
• Max Davidson, MSW
• Rebecca Bove Davidsson, LMSW
• Lauren Johns Davies, PA
• Logan L Davies
• Brandon Davila, MD
• Marcia B Davila, MD

• Registered Nurse in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.