Tiesha Davey

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310864 Issued in NY

Practice address

6321 New Utrecht Ave
Brooklyn, NY 11219-5425

Phone

(212) 687-7464

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Phoenix Houses of New York, Inc.

  • Substance Abuse Rehabilitation Facility
  • New York, NY
  • NPI 1134297153
  NPD (past)

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1922491455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011144",
            "telephone_number": "718-222-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 NEW UTRECHT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112195425",
            "telephone_number": "212-687-7464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Jay St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112011144",
            "country_code": "US",
            "telephone_number": "718-222-6600 x8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "TIESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Davelman, MD
• Jessica Daven, NP
• Channler Davenport
• Lilia Davenport
• Meredith Gillian Davenport, CCC-SLP
• Antoinette Davi, LMSW
• Michael Onorato Davia, M.D.
• David a. Silver MD PLLC
• David Binder Medical PC
• David Borenstein, MD PC

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.