Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215500962 Individual Practitioner Female Practitioner

Carisa Davis

Specialist/Technologist, Other • Lindale, TX

Professional Overview & Biography Verified Profile Summary

Carisa Davis is a registered healthcare professional specializing in Specialist/Technologist, Other in Lindale, TX. Practice services are available at 14983 BOAZ LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14983 Boaz Ln

Lindale, TX 757714801

Telephone 9728961843
Associated Practice Facility / Clinic
🏢 Head And Spine Institute Llc Facility NPI 1407525538

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other in Lindale, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Lindale, TX (200 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-25
Specialist/Technologist, Other Primary Specialty

NUCC Taxonomy Code: 246Z00000X

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Specialist/Technologist, Other - Electroneurodiagnostic

NUCC Taxonomy Code: 246ZE0600X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Shruthi Ravikumar

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1679305015

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 25, 2023

Registered at 14983 BOAZ LN, LINDALE, TX 757714801 (Tel: 9728961843)

📍
Updated Business Mailing Address September 25, 2023

Registered at 14983 BOAZ LN, LINDALE, TX 757714801 (Tel: 9728961843)

NPI Profile Active July 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2021

Registered at 3 MARYLAND FARMS STE 200, BRENTWOOD, TN 370275780 (Tel: 8003484565)

📍
Updated Business Mailing Address July 21, 2021

Registered at 3 MARYLAND FARMS STE 200, BRENTWOOD, TN 370275780 (Tel: 8003484565)

👤
Provider Name / Credentials Updated July 21, 2021

Recorded as CARISA DAVIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2021

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration July 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215500962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2021
Last Update: September 25, 2023
Sole Proprietor: No

Mailing Address

14983 Boaz Ln

Lindale, TX 757714801

Phone: 9728961843

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.