Active NPI
Mandy Rose Davis, CRRN
- Pediatric Registered Nurse
- Birmingham, AL
National Provider Identifier
1962509513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 01-099110
- Practice address
- 1600 7TH Ave S
4 West Nurse's Desk
Birmingham, AL 35233-1711 - Phone
- (205) 939-9498
- Fax
- (205) 939-6727
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 01-099110 | AL | Primary |
Addresses
Primary practice location
1600 7TH Ave S
4 West Nurse's Desk
Birmingham, AL 35233-1711
Mailing address
263 Parkview Dr
Sylvan Springs, AL 35118-9719
Phone (205) 612-6890
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 |
|---|---|---|---|
| 01-099110 | AL | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1962509513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 PARKVIEW DR",
"city": "SYLVAN SPRINGS",
"state": "AL",
"postal_code": "351189719",
"telephone_number": "205-612-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 7TH AVE S",
"address_2": "4 WEST NURSE'S DESK",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331711",
"telephone_number": "205-939-9498",
"fax_number": "205-939-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MANDY",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "CRRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "AL",
"license": "01-099110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.