KELLI DAVIS (NPI# 1013457902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013457902 |
| Entity Type | Individual |
| Full Name | KELLI DAVIS |
| Practice Address |
5715 S Broadway Los Angeles CA 90037-4131 |
| Practice Telephone | 3239480444 |
| Practice Fax Number | 3239480443 |
| Mailing Telephone | 3239480444 |
| Mailing Fax Number | 3239480443 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386109775 | Kelli Davis | Dietitian, Registered | 33859 King Dr, Yucaipa, CA 92399-6980 | 2019-02-10 |
| 1912241803 | Kelli Roberts Davis | Physical Therapist | 18506 Victoria Bay Dr, Cornelius, NC 28031-5542 | 2012-11-16 |
| 1316957566 | Kelli Noriko Davis | Physical Therapist | 4741 Apple Tree Cmn, Livermore, CA 94551 | 2006-08-09 |
| 1124582911 | Kelli Renee Davis | Nurse Practitioner | 1250 8th Ave Ste 200, Fort Worth, TX 76104-4158 | 2019-01-25 |
| 1891279899 | Kelli Davis | Occupational Therapist | 109 Guest House Dr, West Monroe, LA 71292-5003 | 2018-09-17 |
| 1073003836 | Kelli Ann Davis | Pediatrics | Pediatric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
| 1427409796 | Kelli Jeanne Davis | Physician Assistant | 4755 Ogletown Stanton Rd, Unit 3e, Newark, DE 19718-2200 | 2016-06-28 |
| 1326474297 | Kelli Ann Davis | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2013-09-23 |
| 1699083709 | Kelli H. Davis | Counselor | 8829 Centre St, Southaven, MS 38671-2610 | 2010-09-23 |
| 1194983759 | Kelli Marie Davis | Internal Medicine | 1000 Johnson Ferry Road, Ne, Atlanta, GA 30342 | 2008-05-29 |
| Street Address |
5715 S BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306947262 | Julie Ann Gray | Social Worker | 5715 S Broadway, Los Angeles, Los Angeles, CA 90037-4131 | 2006-09-25 |
| 1891327441 | Jose E Hernandez | Counselor | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2020-02-11 |
| 1386286490 | Victor Yaquian | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-10-09 |
| 1356983555 | Maria Marroquin | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-10-09 |
| 1295376549 | Kelsey Boyle | Social Worker | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-10-07 |
| 1366099822 | Adriana Villa Camacho | Social Worker | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-08-20 |
| 1962054122 | Carmenia Matthews | Peer Specialist | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-07-09 |
| 1689133035 | Izri Preciado | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-03-15 |
| 1346708021 | Elizabeth Ramirez | Student in an Organized Health Care Education/Training Program | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-03-12 |
| 1326502931 | Adrian Tafoya | Social Worker | 5715 S Broadway, Los Angeles, CA 90037-4131 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90037 |
Please comment or provide details below to improve the information on KELLI DAVIS.
| 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.