Michaela Davison, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

797588-01 Issued in NY

Practice address

37 Eagle Way
West Chazy, NY 12992-2562

Phone

(518) 563-8250

NPI assigned

Aug 7, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

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.

• Champlain Valley Education Services

  • Local Education Agency (LEA)
  • Plattsburgh, NY
  • NPI 1417254053
  NPD (past)

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1972230191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 SPELLMAN RD",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922610",
            "telephone_number": "518-593-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EAGLE WAY",
            "city": "WEST CHAZY",
            "state": "NY",
            "postal_code": "129922562",
            "telephone_number": "518-563-8250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Military Tpke",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129017457",
            "country_code": "US",
            "telephone_number": "518-561-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "MICHAELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "797588-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Chamberlain, REGISTERED NURSE
• Rachael Christiana, M.A. CCC - SLP
• Scott Alan Coleman, RN, MS, AE-C
• Melinda Joan Conroy, OTR
• Audrey Crucetti
• Renay Lee Desrocher, REGISTERED NURSE
• Sherry Ann Deyo-Pugh, REGISTERED NURSE
• Jo Dragoon-Morse, R.D.
• Gina Joann Faoro Gratton, PT
• Laura Flax

• School Registered Nurse in West Chazy, NY
• Providers in West Chazy, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.