MS. HEATHER DAWN DAVIS (NPI# 1053880781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053880781 |
| Entity Type | Individual |
| Full Name | MS. HEATHER DAWN DAVIS |
| Other Name | HEATHER D WILLIAMS |
| Credential | FNP |
| Practice Address |
305 W Jackson St Ste 400 Carbondale IL 62901 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6184573031 |
| Practice Fax Number | 6184573032 |
| Mailing Telephone | 6184575200 |
| Mailing Fax Number | 6185290586 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209018023 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 502 W Saint Louis St Ste 4, West Frankfort, IL 628961968 | 6189373400 | 6189979324 |
| 3905 W Ernestine Dr, Marion, IL 629595800 | 6185294455 | 6183511287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423383 | Heather Nicole Davis | Nurse Practitioner | 215 Treuhaft Blvd Ste 8, Barbourville, KY 40906-7361 | 2020-10-01 |
| 1881246700 | Heather Noelle Davis | Dietitian, Registered | 1457 S White Pine St, Terre Haute, IN 47803-4000 | 2019-07-11 |
| 1629502505 | Heather Nicole Davis | Personal Emergency Response Attendant | 5707 E Lynn Rd, Kiahsville, WV 25534-9714 | 2017-04-17 |
| 1659785525 | Heather Catherine Davis | Chiropractor | 13 S National Ave, Fort Scott, KS 66701-1308 | 2014-06-18 |
| 1225451040 | Heather R Davis | Registered Nurse | 7730 Staley Rd, New Carlisle, OH 45344-9751 | 2014-01-30 |
| 1700210051 | Heather Davis | Student in an Organized Health Care Education/Training Program | 1871 Nw Gilman Blvd # 2, Issaquah, WA 98027-8116 | 2013-08-22 |
| 1598030074 | Heather Davis | Health Educator | 115 Isley St, Chapel Hill, NC 27516-2149 | 2012-03-15 |
| 1679883003 | Heather Rene Davis | Social Worker | 2339 Se 28th Ct, Topeka, KS 66605-3282 | 2010-10-19 |
| 1265747307 | Heather Brooke Davis | Pharmacist | 801 Ih 35 N, Waco, TX 76705-2874 | 2010-08-12 |
| 1336470962 | Heather L Davis | Speech-Language Pathologist | 905 Arrowhead Trl, Warner Robins, GA 31088-5390 | 2010-01-21 |
| Street Address |
305 W JACKSON ST STE 400 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396734414 | Eugenio Fortunato Vargas | Neurological Surgery | 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 | 2005-10-20 |
| 1972084796 | Sarah Elizabeth Asaturian | Physician Assistant | 305 W Jackson St Ste 400, Carbondale, IL 62901-1474 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| 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 |
|---|---|---|---|---|
| 1285287888 | Melissa Anne Fowler-coello | Nurse Practitioner | 305 W Jackson St Ste 100, Carbondale, IL 62901-1474 | 2019-07-23 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1093706780 | Marie A Williams | Nurse Practitioner | 30-32 N Main St, Carbondale, PA 18407-2304 | 2005-11-02 |
| 1598391484 | Jourdan Nikole Prehn | Nurse Practitioner | 211 Main St, Carbondale, KS 66414-9714 | 2020-03-23 |
| 1043846421 | Lindsay B Casolari | Nurse Practitioner | 2601 W Main St, Carbondale, IL 62901-1031 | 2020-03-18 |
| 1871123067 | Hailee Elizabeth Bowlin | Nurse Practitioner | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-01-16 |
| 1770125817 | Jill Martin | Nurse Practitioner | 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | 2019-10-10 |
| 1194367318 | Jessica Oakley | Nurse Practitioner | 2601 W Main St, Carbondale, IL 62901-1031 | 2019-10-09 |
| 1427609775 | Brandi Anderson | Nurse Practitioner | 305 W Jackson St Ste 103, Carbondale, IL 62901-1474 | 2019-09-26 |
| 1184196883 | Leslie Ann Hickman | Nurse Practitioner | 2601 W Main St, Carbondale, IL 62901-1031 | 2018-12-19 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.