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SHAKA-CON DAVIS
NPI 1043997968
Prevention Professional in Charlotte, NC

Active since July 03, 2023
1909 J N PEASE PL STE 104, CHARLOTTE, NC 28262(980) 224-8078 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaka-con Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKA-CON DAVIS (NPI 1043997968) is an individual prevention professional provider in Charlotte, North Carolina, licensed in North Carolina (1111111111111) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1043997968
Entity TypeIndividualFemale
Primary Taxonomy405300000X
Provider Legal NameSHAKA-CON DAVIS
Location Address1909 J N PEASE PL STE 104Charlotte, NC 28262-4561
Mailing Address1909 J N Pease Pl Ste 104Charlotte, NC 28262-4561 · (980) 224-8078
Phone(980) 224-8078
Sole ProprietorYes
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 1, 2023
✔ NPI 1043997968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in NC · 1111111111111
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
1909 J N PEASE PL STE 104, Charlotte, NC 28262
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERIFI CHARLOTTE LLC
Clinic/Center (Health Service)
1909 J N PEASE PL STE 104
CHARLOTTE, NC 28262
Mecklenburg County (980) 201-2290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaka-con Davis's NPI number?

The NPI number for Shaka-con Davis is 1043997968. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Shaka-con Davis located?

Shaka-con Davis practices at 1909 J N Pease Pl Ste 104, Charlotte, NC 28262. The listed phone number is (980) 224-8078.

What is Shaka-con Davis's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Shaka-con Davis was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.