Active NPI
Shakerra Davis, RN
- Family Nurse Practitioner
- Trenton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ15379200
- Practice address
- 25 Samdin Blvd
Trenton, NJ 08610-3930 - Phone
- (609) 384-4500
- NPI assigned
- Jan 31, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR16174800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15379200 | NJ | Primary |
Addresses
Primary practice location
25 Samdin Blvd
Trenton, NJ 08610-3930
Mailing address
25 Samdin Blvd
Trenton, NJ 08610-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 945-5724
3325 Hwy 35
Hazlet, NJ 07730-1552
Phone (732) 264-5800
456 Chestnut St
Suite 102
Lakewood, NJ 08701-6124
Phone (732) 486-7373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16174800 | NJ | MD | Registered Nurse |
| 26NJ15379200 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sai Inpatient Resources, LLC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Personal NP Services, LLC | Current | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200
685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855
170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540
1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Lakewood, NJ
- NPI 1649658105
-
- Internal Medicine Physician
- Plainsboro, NJ
- NPI 1336267004
-
- Multi-Specialty Clinic/Center
- Newark, NJ
- NPI 1942912381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1871865352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 SAMDIN BLVD",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086103930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 SAMDIN BLVD",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086103930",
"telephone_number": "609-384-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHAKERRA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR16174800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15379200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.