CMS-1500 Box 24J / 33a • NPI
1366393068
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
146N00000X
Licensed & Credentialed Emergency Medical Technician, Basic
Box 32 Service Location & ZIP+4
525 THREE MILE DR, KALISPELL, MT, 59901-6433
✓ 9-Digit EDI 837 ZIP+4 (59901-6433)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366393068 (MELISSA FAITH DAVIS, EMT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366393068 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MELISSA FAITH DAVIS, EMT |
| Plain-English Specialty | Licensed & Credentialed Emergency Medical Technician, Basic NUCC Code: 146N00000X (Emergency Medical Technician, Basic) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 525 THREE MILE DR, KALISPELL, MT, 59901-6433 |
| Practice Telephone / Fax | Tel: (140) 675-2860 |
| Administrative Mailing Address | 20925 SPOTTED FAWN RD, HUSON, MT, 59846-9501 |
| Enumeration & Last Sync | Enumerated: 2026-02-07 | CMS Record Updated: 2026-02-07 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (146N00000X)
What Does Taxonomy Code 146N00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 146N00000X translates to:
"Licensed & Credentialed Emergency Medical Technician, Basic"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MELISSA FAITH DAVIS, EMT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
146N00000X — Emergency Medical Technician, BasicPlain English: Licensed & Credentialed Emergency Medical Technician, Basic | State: MT | License: 159441 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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