Tina Davidson, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN0000196779 Issued in TN

Practice address

2540 Van Eaton LN
Memphis, TN 38133-5147

Phone

(901) 826-7463

NPI assigned

Dec 18, 2014

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1871991141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 VAN EATON LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335147",
            "telephone_number": "901-826-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 VAN EATON LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381335147",
            "telephone_number": "901-826-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "TINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TN",
            "license": "RN0000196779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Davidson, D.O.
• John M Davidson, CRNA
• Lacey Margaret Davidson
• Matthew Alan Davidson, BCBA, LBA
• Nicholas Oscar Davidson
• Troy Davidson
• Yolanda Yvette Davidson
• Rita Davis-Deas, PHARMD
• Alicia Dawn Davis
• Annuquette K Davis, RN

• Medical-Surgical Registered Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Medical-Surgical Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.