Active NPI
Jamie M Davidson
- Peer Specialist
- Des Moines, IA
National Provider Identifier
1821982034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 3120 SW 9TH St
Des Moines, IA 50315-2205 - Phone
- (515) 499-2105
- NPI assigned
- Jun 4, 2025
- Last updated
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | IA | Primary |
Addresses
Primary practice location
3120 SW 9TH St
Des Moines, IA 50315-2205
Mailing address
1825 SW White Birch Cir Unit 6
Ankeny, IA 50023-7206
Phone (515) 393-1096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CART-24-401-080 | Other | IA | CCAR RECOVERY COACH ACADEMY |
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 |
|---|---|---|---|
| Kingdom Living Iowa | Peer Specialist | Current | Accepting new patients |
Locations
3120 SW 9th St
Des Moines, IA 50315
Phone (515) 499-2105
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1821982034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 SW WHITE BIRCH CIR UNIT 6",
"city": "ANKENY",
"state": "IA",
"postal_code": "500237206",
"telephone_number": "515-393-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 SW 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503152205",
"telephone_number": "515-499-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JAMIE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAR RECOVERY COACH ACADEMY",
"identifier": "CART-24-401-080",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.