Mildred Jean Davis, MHR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1912 Bluegrass CT
Moore, OK 73160-5637

Phone

(405) 819-4624

NPI assigned

Jan 4, 2011

Last updated

Jan 4, 2011By 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

Other names 1

• Mikki Jean Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1861796914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 BLUEGRASS CT",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605637",
            "telephone_number": "405-819-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 BLUEGRASS CT",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605637",
            "telephone_number": "405-819-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MILDRED",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MHR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKKI",
            "last_name": "DAVIS",
            "middle_name": "JEAN",
            "credential": "MHR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Decien Davis
• Gentry Davis
• Kathryn Davis, LPC
• Kayden Davis
• Melissa Davis
• Natausha Patrice Davis
• Patricia Jane Davis
• Troy L Davis, PHARMD
• Talina Marie Davisenn, LPC
• Randilyn Day

• Case Manager/Care Coordinator in Moore, OK
• Providers in Moore, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.