Active NPI
Wilson Davis
- Registered Nurse
- Lynn, MA
National Provider Identifier
1952770356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2281202
- Practice address
- 95 Pleasant St
Eliot Community
Lynn, MA 01901-1524 - Phone
- (978) 000-0000
- NPI assigned
- Sep 16, 2015
- 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 | RN2281202 | MA | Primary |
Addresses
Primary practice location
95 Pleasant St
Eliot Community
Lynn, MA 01901-1524
Mailing address
95 Pleasant St
Eliot Community
Lynn, MA 01901-1524
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2281202 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1952770356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 PLEASANT ST",
"address_2": "ELIOT COMMUNITY",
"city": "LYNN",
"state": "MA",
"postal_code": "019011524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 PLEASANT ST",
"address_2": "ELIOT COMMUNITY",
"city": "LYNN",
"state": "MA",
"postal_code": "019011524",
"telephone_number": "978-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WILSON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2281202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.