Mina Davis, NURSE PRACTITIONER

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

95191633 Issued in CA

Practice address

321 W Rincon St Unit 412
Corona, CA 92878-5710

Phone

(951) 532-9913

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1891475455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W RINCON ST UNIT 412",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928785710",
            "telephone_number": "951-532-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W RINCON ST UNIT 412",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928785710",
            "telephone_number": "951-532-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MINA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025097",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "95191633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna D Davis
• Chyna Davis
• Danesha Dawnnea Davis
• Deshonae Davis
• James Joseph Davis
• Randall B Davis, LMFT
• Terrance Anthony Davis, RN
• Todd Davis, ATC
• Dawn M Terashita, PC
• Eva Day, PHYSICIAN ASSISTANT

• Maternal Newborn Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• Maternal Newborn Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.