TAMIKA DAVIS (NPI# 1013456201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013456201 |
| Entity Type | Individual |
| Full Name | TAMIKA DAVIS |
| Credential | ADULT-GERONTOLOGY PR |
| Practice Address |
18610 Fenkell St Detroit MI 48223-2378 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 3137236000 |
| Practice Fax Number | 3134244058 |
| Mailing Telephone | 3127339730 |
| Mailing Fax Number | 7738668014 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
224736 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704272126 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 527474 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15201 W Mcnichols Rd, Detroit, MI 482353717 | 8772205313 | 3133324134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649408519 | Tamika Davis | Licensed Practical Nurse | 16 Lennox Ct, Sicklerville, NJ 08081-1924 | 2009-06-30 |
| 1942347372 | Tamika A Davis | Nurse Practitioner | 812 Grassmeade Way, Snellville, GA 30078-5694 | 2007-02-01 |
| 1689281214 | Tamika Davis | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-09-28 |
| 1659902674 | Tamika D. Davis | Case Manager/Care Coordinator | 3100 E 45th St Ste 408, Cleveland, OH 44127-1095 | 2020-01-29 |
| 1558918714 | Tamika Maria Davis | Case Manager/Care Coordinator | 2626 Canal St Ste 201, New Orleans, LA 70119-6434 | 2019-08-22 |
| 1134659691 | Tamika Davis | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-06-18 |
| 1871957381 | Tamika Davis | Social Worker | 50 Redfield St, Dorchester, MA 02122-3630 | 2016-04-11 |
| 1447642434 | Tamika Nicole Davis | Registered Nurse | 8673 15th Way N, St Petersburg, FL 33702-2815 | 2015-02-27 |
| Street Address |
18610 FENKELL ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851360739 | Jeffrey Paul Yanez | Internal Medicine | 18610 Fenkell St, Detroit, MI 48223-2378 | 2006-03-14 |
| 1578069357 | Nada Sareini | Nurse Practitioner | 18610 Fenkell St, Detroit, MI 48223 | 2018-04-02 |
| 1083148829 | Randall Mcpherson II | Family Medicine | 18610 Fenkell St, Detroit, MI 48223-2378 | 2017-04-19 |
| 1083016547 | Timanika Dansby | Nurse Practitioner | 18610 Fenkell St, Detroit, MI 48223-2378 | 2014-09-16 |
| 1841629466 | Content Taylor | Nurse Practitioner | 18610 Fenkell St, Detroit, MI 48223-2378 | 2013-11-04 |
| 1679815203 | Shanette L Wright | Nurse Practitioner | 18610 Fenkell St, Detroit, MI 48223-2378 | 2013-03-21 |
| 1942552617 | Lomyda Mechon Lofton | Counselor | 18610 Fenkell St, Detroit, MI 48223-2378 | 2012-10-05 |
| 1801107032 | Ebony Harpool | Internal Medicine | 18610 Fenkell St, Detroit, MI 48223-2378 | 2010-06-22 |
| 1891880712 | Sheila Marie Caldwell | Nurse Practitioner | 18610 Fenkell St, Detroit, MI 48223-2378 | 2006-10-04 |
| 1548211592 | David K Wash | Family Medicine | 18610 Fenkell St, Detroit, MI 48223-2378 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205293057 | Karen Milana | Nurse Practitioner | 201 E Kirby St, Detroit, MI 48202-4048 | 2016-01-25 |
| 1568858793 | Michelle Wagner-smith | Nurse Practitioner | John D. Dingell Vamc, 4646 John R Street, Detroit, MI 48201-1916 | 2015-04-14 |
| 1477836419 | Helene June Krouse | Nurse Practitioner | 5557 Cass Ave, Cohn 146, Detroit, MI 48202-3615 | 2011-09-26 |
| 1639466055 | Wsu Physician Group | Nurse Practitioner | 4201 St. Antoine - University Health Center, Pod 5a, Detroit, MI 48201 | 2011-07-06 |
| 1356595441 | Danyelle Syvette Armour | Nurse Practitioner | 6001 W. Outer Drive, Suite 207, Detroit, MI 48235 | 2008-11-17 |
| 1023172699 | Theresa Marie Cirocco | Nurse Practitioner | 2799 W Grand Blvd Rm E235, Detroit, MI 48202-2608 | 2006-12-20 |
| 1336226422 | Naima Latriese Ogletree | Nurse Practitioner | 2799 W Grand Blvd # Cfp-547, Detroit, MI 48202-2608 | 2006-11-01 |
| 1982642054 | Kelly K Wietecha | Nurse Practitioner | Harper Professional Bldg Ste 1007, 4160 John R, Detroit, MI 48201 | 2006-06-02 |
| 1023055019 | Lisa Binns-emerick | Nurse Practitioner | 4201 St Antoine Ste 5b, Drh Rosa Parks Wellness Institute for Sr Health, Detroit, MI 48201 | 2006-05-31 |
| 1104863000 | Rebecca Hunnicutt Farren | Nurse Practitioner | Childrens Hospital Mi Pediatric Administration, 3901 Beaubien, Detroit, MI 48201 | 2006-05-31 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.