Individual provider · NPI-1

Shanille Clarke Davis, COTA, RN

Case Manager/Care Coordinator · Cypress, TX

NPI number1831670728
StatusActive
Last updated in NPPESOct 6, 2026

Details

NPI
1831670728
Entity type
Individual (NPI-1)
Name
Shanille Clarke Davis
Credential
COTA, RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 28, 2018
Certification date
Oct 6, 2026
Last updated
Oct 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator1116933TXYes
163WP0200X Registered Nurse, Pediatrics1116933TX
251B00000X Case Management1116933TX
163W00000X Registered NurseN62319NY
224Z00000X Occupational Therapy Assistant214385TX
163W00000X Registered Nurse1116933TX

Practice location

20018 Silver Mesia Cir
Cypress, TX 77433-6805

Phone 954-608-5636

Mailing address

20018 Silver Mesia Cir
Cypress, TX 77433-6805

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