Individual provider Active NPI

Virginia Davis, RN, RD, LD

  • Registered Dietitian
  • Demopolis, AL
National Provider Identifier
1952155129
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
981764 Issued in AL
Practice address
105 US Highway 80 E
Demopolis, AL 36732-3605
Phone
(901) 590-5485
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 981764 AL Primary

Addresses

Primary practice location

105 US Highway 80 E
Demopolis, AL 36732-3605

Mailing address

5027 New Watermelon Rd
Tuscaloosa, AL 35406-1419
Phone (901) 590-5485

Other practice location 1

5027 New Watermelon Rd
Tuscaloosa, AL 35406-1419
Phone (901) 590-5485

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
981764ALMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1952155129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 NEW WATERMELON RD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061419",
            "telephone_number": "901-590-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 US HIGHWAY 80 E",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367323605",
            "telephone_number": "901-590-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5027 New Watermelon Rd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354061419",
            "country_code": "US",
            "telephone_number": "901-590-5485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "RN, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "981764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

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