Tennille Renae Davis

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

3925 N Martin L King Blvd Ste 202
North Las Vegas, NV 89032-7675

Phone

(702) 909-9333

Fax

(702) 909-9262

NPI assigned

Feb 21, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861993362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 TAMARUS ST APT D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195045",
            "telephone_number": "312-852-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N MARTIN L KING BLVD STE 202",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890327675",
            "telephone_number": "702-909-9333",
            "fax_number": "702-909-9262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 N Decatur Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891082976",
            "country_code": "US",
            "telephone_number": "702-982-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TENNILLE",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Donohue Davis
• Regina Davis
• Renae Davis
• Shameka L Davis
• Sharon Davis
• Therman Davis
• Thomas Davis
• Day 2 Day Transportation Services
• Day and Night Behavioral
• Charlene Day

• Driver in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Driver in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.