CONNIE L. DAVIS – NPI #1043395841
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
CONNIE DAVIS is a physician located in MOUNT VERNON, WA. NPPES has assigned the NPI number 1043395841 to CONNIE DAVIS on October 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name CONNIE L. DYBERG. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 11 years ago on Mar 13, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNIE DAVIS below.
NPI Profile for
CONNIE L. DAVIS
(more than 19 years ago)
MOUNT VERNON, WA 98274 Phone: (360) 428-8260 Fax: (360) 428-8576
ATTN: CREDENTIALING
MOUNT VERNON, WA 98274-4127 Phone: (360) 428-2500 Fax: (360) 428-6485
Identifiers for CONNIE DAVIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | INTERNAL ID-MOTOR VEHICLE ID | 9149 | |
| MEDICAID | WA | 8303687 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
WA | MD00025078 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.