Active NPI
Jeremiah Davis, RN
- Registered Nurse
- Vancouver, WA
National Provider Identifier
1891606653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28291933A
- Practice address
- 11116 NE 91St Ave
Vancouver, WA 98662-1493 - Phone
- (561) 713-7779
- NPI assigned
- Sep 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28291933A | IN | Primary |
Addresses
Primary practice location
11116 NE 91St Ave
Vancouver, WA 98662-1493
Mailing address
11116 NE 91St Ave
Vancouver, WA 98662-1493
Phone (561) 713-7779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1891606653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 NE 91ST AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986621493",
"telephone_number": "561-713-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 NE 91ST AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986621493",
"telephone_number": "561-713-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEREMIAH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28291933A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.