NPI Code Detail JSON Logo

1366393068 NPI number — MELISSA FAITH DAVIS EMT

NPI Number: 1366393068
Health Care Provider/Practitioner: MELISSA FAITH DAVIS EMT

Information about “1366393068” NPI (MELISSA FAITH DAVIS EMT) exists in 1366393068 in HTML format HTML  |  1366393068 in plain Text format TXT  |  1366393068 in PDF (Portable Document Format) PDF  |  1366393068 in an XML format XML  formats.

NPI Number : 1366393068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366393068",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "MELISSA",
    "MiddleName": "FAITH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "EMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20925 SPOTTED FAWN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUSON",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59846-9501",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-612-3657",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "525 THREE MILE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KALISPELL",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59901-6433",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "140-675-2860",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/07/2026",
    "LastUpdateDate": "02/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "146N00000X",
        "TaxonomyName": "Basic Emergency Medical Technician",
        "LicenseNumber": "159441",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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