VALISIA MICHELLE DAVIS CPNP-PC NPI 1104979822

NPI Information

NPI: 1104979822
Provider Name: VALISIA MICHELLE DAVIS, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1720 UNIVERSITY BLVD
SUITE 101
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 325-8100
Get Directions

Valisia Michelle Davis, CPNP-PC is a pediatrics nurse practitioner in Birmingham, AL. Valisia Michelle Davis, CPNP-PC NPI is 1104979822. 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:

1720 UNIVERSITY BLVD
SUITE 101
BIRMINGHAM, AL
ZIP 35233-895
Phone: (205) 325-8100

The NPI 1104979822 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 2/2/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	1-062777	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07074306	MEDICAID	MISSISSIPPI
2	132617	MEDICAID	ALABAMA
3	891012950	MEDICAID	ALABAMA
4	051119882	OTHER	ALABAMA	BCBS
5	515-37543	OTHER	ALABAMA	BCBS OF ALABAMA
6	102I502094	MEDICARE PIN	ALABAMA

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

NPI Synchronization or Removal

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