KELLEY REBECCA DAVIS


Address: 675 N 5th St Ste 200, Lebanon, OR 97355-2875
Phone: 5414517820

KELLEY REBECCA DAVIS (NPI# 1043778418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043778418
Entity Type Individual
Full Name KELLEY REBECCA DAVIS
Credential MN, CPNP-PC
Practice Address 675 N 5th St Ste 200
Lebanon
OR 97355-2875
Practice Telephone 5414517820
Enumeration Date 2019-03-05
Last Update Date 2020-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
202000767NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers KELLEY DAVIS

NPI Name Taxonomy Address Enumeration
1669079901 Kelley Brown Davis Nurse Practitioner 2689 Us-1, Elgin, SC 29045 2020-10-08
1013551977 Kelley Davis Speech-Language Pathologist 9609 Cypress Way, Carmel, IN 46032-9287 2019-11-04
1831587047 Kelley Davis Speech-Language Pathologist 3812 Nw Briarwood Dr, Blue Springs, MO 64015-2519 2014-12-23
1821383803 Kelley F Davis Social Worker 4115 Lake Ave, Rochester, NY 14612-4813 2011-06-17
1609833771 Kelley Michelle Davis Family Medicine 1251a E Red Bird Ln, Dallas, TX 75241-2008 2006-05-01
1275144180 Kelley Davis Student in an Organized Health Care Education/Training Program 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 2020-08-13
1023499704 Kelley Davis Dietitian, Registered 2500 Grant Rd, Lpch-4c, Mountain View, CA 94040-4302 2015-06-17
1104961069 Kelley M Davis Specialist/Technologist 1677 Route 65, Ellwood City, PA 16117-5217 2007-02-20

Office Location

Street Address 675 N 5TH ST STE 200
City LEBANON
State OR
Zip Code 97355-2875

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437165453 Robin L Richardson Family Medicine 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2006-07-31
1326679366 Joshua Christopher Schirripa Physician Assistant 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2020-01-29
1558916049 Sally Jean Beggs Nurse Practitioner 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2019-08-02
1487164463 Nadia Crystal Graves Midwife 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2017-10-04
1174919120 Ashley St Germain Obstetrics & Gynecology 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2015-04-07
1003182601 Mid-valley Healthcare, Inc. Clinic/Center 675 N 5th St Ste 200, Lebanon, OR 97355 2012-03-28
1417967084 Linda Christensen Deacon Obstetrics & Gynecology 675 N 5th St Ste 200, Lebanon, OR 97355-2875 2006-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710516182 Patricia Hoangphuong Nguyen Student in an Organized Health Care Education/Training Program Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 2020-04-07
1528609740 Liana Beaty Technician 31231 Mccraven Ln, Lebanon, OR 97355 2019-09-30
1710465323 Jackie Welter Health Educator 35 Mullins Drvie Ste 3, Lebanon, OR 97355 2018-08-06
1518415371 Kathleen Hillary Registered Nurse 525 North Santiam Highway, Lebanon, OR 97355 2016-09-21
1861849283 Emily Marshall Student in an Organized Health Care Education/Training Program 200 Mullins Drive, Lebanon, OR 97355 2016-05-16
1033565551 Celeste Maxine Croy-baker Student in an Organized Health Care Education/Training Program 200 Mullins Dr., Lebanon, OR 97355 2016-05-13
1770956963 Jeff Parsons Occupational Therapist 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 2015-11-10
1003289588 Hong Ngoc Nguyen Pharmacist 675 N Fifth Street, Lebanon, OR 97355 2015-11-05
1801278049 Darrel A Decker Skilled Nursing Facility 350 8th Street, Lebanon, OR 97355 2015-06-24
1679985113 State of Oregon Department of Veterans' Affairs Skilled Nursing Facility 600 N. 5th Street, Lebanon, OR 97355 2014-06-02
Find all providers in zip 97355

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184267270 Mary Elizabeth Coletti Nurse Practitioner 1029 W Main St # 3301, Lebanon, TN 37087-3351 2019-10-22
1821452392 Alexa Rae Anglin Nurse Practitioner 365 S Hartmann Dr, Suite 106, Lebanon, TN 37087-4787 2016-04-11
1174171342 Anna Mistiaen Mckay Nurse Practitioner 1 Medical Center Dr, Lebanon, NH 03756-0001 2019-08-29
1831656537 Kathryn Elizabeth Richards Nurse Practitioner One Medical Center Drive, Neonatology, Lebanon, NH 03756-0001 2019-02-28
1730533092 Margaret Hadley Nurse Practitioner 1029 W Main St, Suite M, Lebanon, TN 37087-3351 2016-04-22
1588074942 Nancy S Dingler Nurse Practitioner 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 2014-05-06
1528492535 Kelly M Boesch Nurse Practitioner 618 Cornwall Rd, Building 2, Lebanon, PA 17042-7089 2013-08-27
1396047965 Michelle Nicole Neff Nurse Practitioner 115 Winwood Dr, Ste 105, Lebanon, TN 37087-1340 2010-12-02
1548582588 Kelly K Gentry Nurse Practitioner 1029 W Main St, Suite M, Lebanon, TN 37087-3351 2010-02-18
1295934271 Jacquelyn Angel Reeves Nurse Practitioner 1029 W Main St, Suite M, Lebanon, TN 37087-3351 2007-07-11
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 97355

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Dataset Information

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.

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