Active NPI
Shanille Clarke Davis, COTA, RN
- Case Manager/Care Coordinator
- Cypress, TX
National Provider Identifier
1831670728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 1116933
- Practice address
- 20018 Silver Mesia Cir
Cypress, TX 77433-6805 - Phone
- (954) 608-5636
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1116933 | TX | |
| Pediatric Registered Nurse | 163WP0200X | 1116933 | TX | |
| Occupational Therapy Assistant | 224Z00000X | 214385 | TX | |
| Case Management Agency | 251B00000X | 1116933 | TX | |
| Case Manager/Care Coordinator | 171M00000X | 1116933 | TX | Primary |
Addresses
Primary practice location
20018 Silver Mesia Cir
Cypress, TX 77433-6805
Mailing address
20018 Silver Mesia Cir
Cypress, TX 77433-6805
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1116933 | TX | MD | Pediatric Registered Nurse |
| 214385 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abiding Light Homecare | Case Management | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1831670728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20018 SILVER MESIA CIR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20018 SILVER MESIA CIR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336805",
"telephone_number": "954-608-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE DAVIS",
"first_name": "SHANILLE",
"credential": "COTA, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1116933",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "TX",
"license": "1116933",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "214385",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "1116933",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "1116933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.