Sage Siera Davis

Primary specialty

DoulaTaxonomy code 374J00000X

License

THW000111345. Issued in OR

Practice address

81868 Lost Valley LN
Dexter, OR 97431-9622

Phone

(541) 844-6937

NPI assigned

Jun 8, 2024

Last updated

Jun 8, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1871335133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81868 LOST VALLEY LN",
            "city": "DEXTER",
            "state": "OR",
            "postal_code": "974319622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81868 LOST VALLEY LN",
            "city": "DEXTER",
            "state": "OR",
            "postal_code": "974319622",
            "telephone_number": "541-844-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAGE",
        "middle_name": "SIERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "THW000111345.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Dissay Corbett-Green
• Desiree M Dennull, FNP
• Janine Gordon, M.D.
• Susan Kay Kasten, RN
• Amber Norton, RN
• Peacehealth (Cottage Grove Community Medical Ct)

• Doula in Dexter, OR
• Providers in Dexter, OR by specialty
• Doula in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.