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LEONDRA DAVIS LPN
NPI 1174881981
Licensed Practical Nurse in Medford, NY

Active since April 30, 2012
4 CLIFFORD LN, MEDFORD, NY 11763(631) 605-1970 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2026, Aug 25, 2017 (2 updates tracked since 2017).

About Leondra Davis Lpn NPPES

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

LEONDRA DAVIS LPN (NPI 1174881981) is an individual licensed practical nurse in Medford, New York, licensed in New York (272237) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1174881981
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLEONDRA DAVISCredential: LPN
Location Address4 CLIFFORD LNMedford, NY 11763-1610
Mailing Address4 Clifford LnMedford, NY 11763-1610 · (631) 605-1970
Phone(631) 605-1970
Sole ProprietorYes
Enumeration DateApril 30, 2012
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1174881981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 272237
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4 CLIFFORD LN, Medford, NY 11763
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Other Identifiers 1

Medicaid02897405NY

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 Leondra Davis's NPI number?

The NPI number for Leondra Davis is 1174881981. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Leondra Davis located?

Leondra Davis practices at 4 Clifford Ln, Medford, NY 11763. The listed phone number is (631) 605-1970.

What is Leondra Davis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Leondra Davis was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.