Active NPI
Timothy A Davis
- Personal Care Attendant
- Apopka, FL
National Provider Identifier
1992391460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 1706 E Semoran Blvd
Apopka, FL 32703-5651 - Phone
- (407) 267-7374
- NPI assigned
- Dec 17, 2020
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
1706 E Semoran Blvd
Apopka, FL 32703-5651
Mailing address
33 N Park Ave
Apopka, FL 32703-4215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09OOR0044 | Other | FL | CHILD CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@livescanandinvestigations.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1992391460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N PARK AVE",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 E SEMORAN BLVD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035651",
"telephone_number": "407-267-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TIMOTHY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-17",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILD CARE",
"identifier": "C09OOR0044",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@livescanandinvestigations.com",
"affiliation": "N",
"endpointDescription": "business email",
"address_1": "1706 E Semoran Blvd",
"city": "Apopka",
"state": "FL",
"country_code": "US",
"postal_code": "327035651",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.