Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Waller Davis, CNM

Individual provider Advanced Practice Midwife · NPI 1063884799

Shannon Waller Davis, CNM is a Certified Nurse Midwife (CNM) in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Heartland Women's Healthcare Ltd, a 29-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
11
Licensed in
IL, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858
Phone: (314) 977-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 2018010192 (MO)
Advanced Practice Midwife Taxonomy 367A00000X (IL)

Record details

NPI number1063884799
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Heartland Women'S Healthcare Ltd — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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