Shantoria Davis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

D120787008370 Issued in FL

Practice address

106 W Jersey Ave
Brandon, FL 33510-3130

Phone

(904) 888-4019

NPI assigned

Jul 1, 2024

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

Other names 1

• Shantoria Davis Former name

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1932945862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W JERSEY AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103130",
            "telephone_number": "904-888-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W JERSEY AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103130",
            "telephone_number": "904-888-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "D120787008370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTORIA",
            "last_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly McFarling Davis, ARNP
• Lauren A.M. Davis, M.D.
• Michael L Davis, MD
• Mio Davis
• Olga Davis
• Tammy Davis
• Thomas M Davison, MD
• William A. Davison, M.D.
• William John Davison, PA-C
• Davita Medical Florida, Inc.

• Registered Nurse in Brandon, FL
• Providers in Brandon, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.