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SHANNON WALLER DAVIS CNM NPI 1063884799


NPI Information

NPI: 1063884799
Provider Name: SHANNON WALLER DAVIS, CNM
Classification: Advanced Practice Midwife - 367A00000X
Entity Type: Individual
Organization: HEARTLAND WOMEN'S HEALTHCARE LTD

PECOS Registration: Yes

Address:
1031 BELLEVUE AVE STE 400
SAINT LOUIS, MO
ZIP 63117
Phone: (314) 977-7455
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Shannon Waller Davis, CNM is an advanced practice midwife in Saint Louis, MO with 9 years of experience. The provider is midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). Shannon Waller Davis, CNM NPI is 1063884799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1031 BELLEVUE AVE STE 400
SAINT LOUIS, MO
ZIP 63117-858
Phone: (314) 977-7455

The NPI 1063884799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/21/2015 and was last updated on 2/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367A00000XAdvanced Practice MidwifeILLINOISNo
2367A00000XAdvanced Practice Midwife2018010192MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.