SHAKA-CON DAVIS NPI 1043997968

NPI Information

  • NPI: 1043997968
  • Provider Name: SHAKA-CON DAVIS
  • Classification: Prevention Professional - 405300000X
  • Entity Type: Individual
  • Address: 1909 J N PEASE PL STE 104
    CHARLOTTE, NC
    ZIP 28262
  • Phone: (980) 224-8078

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NPI Details

Shaka-con Davis is a prevention professional in Charlotte, NC. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. Shaka-con Davis NPI is 1043997968. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1909 J N PEASE PL STE 104
CHARLOTTE, NC
ZIP 28262-561
Phone: (980) 224-8078

The enumeration date for this NPI number is 7/3/2023 and was last updated on 7/3/2023.

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
1405300000XPrevention Professional1111111111111NORTH CAROLINAYes

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: 11/21/2025

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