SHEILA SANDUBRAE DAVIS A.P.N. L.P.C. NPI 1538184742

NPI Information

NPI: 1538184742
Provider Name: SHEILA SANDUBRAE DAVIS, A.P.N., L.P.C.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
830 UPPER CACHE CREEK DR.
JACKSON, WY
ZIP 83001
Phone: (307) 733-5227
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Sheila Sandubrae Davis, A.P.N., L.P.C. is a psychiatric/mental health nurse practitioner in Jackson, WY. Sheila Sandubrae Davis, A.P.N., L.P.C. NPI is 1538184742. 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:

830 UPPER CACHE CREEK DR.
JACKSON, WY
ZIP 83001-281
Phone: (307) 733-5227

The NPI 1538184742 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 7/12/2006 and was last updated on 10/5/2011.

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	101YM0800X	Counselor	Mental Health	259	WYOMING	No
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	101062	MICHIGAN	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	8459	WYOMING	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	8056871000	MEDICAID	IDAHO
2	307367	MEDICARE ID-TYPE UNSPECIFIED	WYOMING
3	000156000	OTHER	WYOMING	MIS
4	110958800	MEDICAID	WYOMING
5	303551	OTHER	WYOMING	BC/BS
6	169719	OTHER	WYOMING	MHN
7	308004	OTHER	WYOMING	MAGELLAN

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: 4/28/2024

NPI Synchronization or Removal

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