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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TATYANA JANAE DAVIS
NPI 1164368007
Student in an Organized Health Care Education/Training Program in Medford, NY

Active since April 24, 2026
12 PLATINUM CT, MEDFORD, NY 11763(631) 868-3577 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Jul 16, 2026, Apr 24, 2026 (3 updates tracked since 2026).

About Tatyana Janae Davis NPPES

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

TATYANA JANAE DAVIS (NPI 1164368007) is an individual student in an organized health care education/training program in Medford, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1164368007
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTATYANA JANAE DAVIS
Location Address12 PLATINUM CTMedford, NY 11763-2247
Mailing Address235 Blue Point AveBlue Point, NY 11715-1261 · (631) 260-0626
Phone(631) 868-3577
Sole ProprietorNo
Enumeration DateApril 24, 2026
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1164368007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12 PLATINUM CT, Medford, NY 11763
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Other Providers at the Same Location NPPES 13

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

EVOLVING GAIT PHYSICAL THERAPY, P.C.
Physical Therapist
12 PLATINUM CT
MEDFORD, NY 11763
Suffolk County (631) 320-1111
DANARD ARMSTRONG
Counselor (Mental Health)
12 PLATINUM CT
MEDFORD, NY 11763
Suffolk County (631) 868-3577
MVP PHYSICAL THERAPY, P.C.
Physical Therapist
12 PLATINUM CT, SUITE B
MEDFORD, NY 11763
Suffolk County (631) 320-1111
NORTH FORK NEUROPSYCHOLOGY
Psychologist (Clinical)
12 PLATINUM CT
MEDFORD, NY 11763
Suffolk County (631) 875-2748
EVOLVING GAIT PHYSICAL THERAPY
Physical Therapist
12 PLATINUM CT
MEDFORD, NY 11763
Suffolk County (631) 320-1111
MELISSA A FARDELLA
Specialist
12 PLATINUM CT
MEDFORD, NY 11763
Suffolk County (631) 868-3577
MS. KAREN CONSTANCE FIELD NURSE PRACTITIONER
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
12 PLATINUM CT, STE C
MEDFORD, NY 11763
Suffolk County (631) 996-4430
LITTLE ANGELS CENTER, INC
Speech-Language Pathologist
12 PLATINUM CT
MEDFORD, NY 11763
Suffolk County (631) 868-3577

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 Tatyana Davis's NPI number?

The NPI number for Tatyana Davis is 1164368007. It was assigned to this individual provider in the NPPES registry on April 24, 2026.

Where is Tatyana Davis located?

Tatyana Davis practices at 12 Platinum Ct, Medford, NY 11763. The listed phone number is (631) 868-3577.

What is Tatyana Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tatyana Davis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.