Individual provider Active NPI

Julie Annette Davis, RN CSN

  • School Registered Nurse
  • Glendale, AZ
National Provider Identifier
1881839967
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
SN0967 Issued in AZ
Practice address
4735 W Morten Ave
Glendale, AZ 85301-1560
Phone
(623) 707-2103
Fax
(623) 707-2204
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN069064 AZ
School Registered Nurse 163WS0200X SN0967 AZ Primary

Addresses

Primary practice location

4735 W Morten Ave
Glendale, AZ 85301-1560

Mailing address

4735 W Morten Ave
Glendale, AZ 85301-1560
Phone (623) 707-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN069064AZMDPediatric Registered Nurse
SN0967AZMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1881839967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 W MORTEN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011560",
            "telephone_number": "623-707-2103",
            "fax_number": "623-707-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 W MORTEN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011560",
            "telephone_number": "623-707-2103",
            "fax_number": "623-707-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "RN CSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AZ",
            "license": "RN069064",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "SN0967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.