Theresa Lynn Davis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0000029223 Issued in WA

Practice address

12310 E Mirabeau Pkwy Ste 500
Spokane Valley, WA 99216-2259

Phone

(509) 473-4900

Fax

(509) 473-4950

NPI assigned

Jan 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1972315059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 E MIRABEAU PKWY STE 500",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162259",
            "telephone_number": "509-473-4900",
            "fax_number": "509-473-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 E MIRABEAU PKWY STE 500",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162259",
            "telephone_number": "509-473-4900",
            "fax_number": "509-473-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00029223",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WA",
            "license": "LP00029223",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "0000029223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Eileen Davis
• Robert Samuel Davis, PA-C
• Sara E Davis, RDN
• Shannon Davis
• Shauna Lynn Davis, CDPT
• Annagrace Day
• Fantasia A Day
• Daybreak Youth Services
• Kevin Dayton, LCSW
• Jaz De L'Arbre, LMHCA

• Licensed Practical Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.