NADEZHDA DAVIS (NPI# 1033269188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033269188 |
| Entity Type | Individual |
| Full Name | NADEZHDA DAVIS |
| Practice Address |
2640 Industry Way Lynwood CA 90262-4284 |
| Practice Telephone | 3106274525 |
| Mailing Telephone | 3106274525 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95080893 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | NP95013388 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1841342318 | 05 | |
| CA | 1265520183 | 05 | |
| CA | 1306922554 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9808 Venice Blvd, Culver City, CA 902322732 | 3109453350 | 3109453356 |
| Street Address |
2640 INDUSTRY WAY |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173970 | Russell F. Lim | Psychiatry & Neurology | 2640 Industry Way, Lynwood, CA 90262-4284 | 2005-12-02 |
| 1467053603 | Jaquenette Miller | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-11-04 |
| 1720685233 | Russell Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-07 |
| 1629675343 | Destiny Williams-panell | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-06 |
| 1104438589 | Elizabeth Navarro | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-08-18 |
| 1265056162 | Debbie Diane Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-06-05 |
| 1538782354 | Jason Douglas Delacuz | Licensed Vocational Nurse | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-05-27 |
| 1700418548 | Lidia Minerva Haefele | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-10 |
| 1396377495 | Adam Castillo | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-06 |
| 1073145355 | Aaron Sanderlin | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285844845 | Graciela Lombardo | Nurse Practitioner | 3624 Martin Luther King Jr. Blvd., Lynwood, CA 90262 | 2007-05-23 |
| 1841832607 | Ashley Szmania | Nurse Practitioner | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2019-10-14 |
| 1871059873 | Ugochi Okonko | Nurse Practitioner | 2640 Industry Way, Lynwood, CA 90262-4284 | 2019-02-14 |
| 1235619248 | Lily Zhong | Nurse Practitioner | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2018-08-19 |
| 1366961443 | Michele M Green | Nurse Practitioner | 11705 Alameda St, Lynwood, CA 90262-4023 | 2017-09-11 |
| 1568914166 | Gwendolyn J Ross-williams | Nurse Practitioner | 4219 Walnut Ave, Lynwood, CA 90262-3822 | 2016-10-29 |
| 1184993834 | Gregory D Marony | Nurse Practitioner | 3630 E Imperial Highway, Lynwood, CA 90262-2636 | 2011-12-27 |
| 1770896508 | Sucheera Wongraveekul | Nurse Practitioner | 3625 Martin Luther King Jr Blvd, Suite 4, Lynwood, CA 90262-3509 | 2010-07-21 |
| 1235303447 | Erika Mcneal | Nurse Practitioner | 3660 E Imperial Hwy, Lynwood, CA 90262-2653 | 2008-04-17 |
| 1043491764 | Janee' Alexander | Nurse Practitioner | 3737 Martin Luther King Jr Blvd, Suite 605b, Lynwood, CA 90262-3513 | 2007-11-21 |
| Find all providers in LYNWOOD | ||||
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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.