1891152906 NPI number — CATHY DAVIS PMHNP-BC, FNP-BC

NPI Number: 1891152906
Health Care Provider/Practitioner: CATHY DAVIS PMHNP-BC, FNP-BC

NPI Number : 1891152906 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891152906",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "CATHY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP-BC, FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2150 GENERAL PERSHING ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MANDEVILLE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70448-5125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "985-781-6080",
    "MailingAddressFaxNumber": "985-867-1768",
    "FirstLinePracticeLocationAddress": "2331 CAREY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SLIDELL",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70458-3627",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "985-646-6406",
    "PracticeLocationAddressFaxNumber": "985-646-6460",
    "EnumerationDate": "01/20/2016",
    "LastUpdateDate": "10/15/2024",
    "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": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "AP08615",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "AP08615",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}