KATRINA ELLEN DAVIS (NPI# 1063544930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063544930 |
Entity Type | Individual |
Full Name | KATRINA ELLEN DAVIS |
Credential | CPNP |
Practice Address |
891 23rd St Ne Salem OR 97301 |
Mailing Address |
3269 Lorian Ln Se Salem OR 97302-3225 |
Practice Telephone | 5033642181 |
Practice Fax Number | 5033640364 |
Mailing Telephone | 5035854459 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000028939N2PNPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | DEA # | MD1424124 | 01 |
OR | 269713 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275175879 | Katrina Davis | Technician | 1723 Upper Mann Creek Rd, Weiser, ID 83672-5551 | 2019-10-15 |
1831586924 | Katrina Lenae Davis | Licensed Practical Nurse | 17341 Kentfield St, Detroit, MI 48219-3425 | 2015-04-16 |
1447698154 | Katrina Davis | Licensed Practical Nurse | 1401 Lee St, Midland, MI 48642-6596 | 2013-06-05 |
1730346487 | Katrina Davis | Counselor | 1703 Grant St, # 1, Yakima, WA 98902-5280 | 2008-05-20 |
1619074184 | Katrina Davis | Case Manager/Care Coordinator | 1239 E Main Street, Bartow, FL 33830 | 2006-09-19 |
1457993362 | Katrina Elise Davis | Physician Assistant | 102-01 66th Rd, Forest Hills, NY 11375 | 2019-10-11 |
1205311792 | Katrina Davis | Nurse Practitioner | 201 N Church St, Medical Dept, Winston Salem, NC 27101 | 2018-10-01 |
1164872560 | Katrina Davis | Licensed Vocational Nurse | 4099 Mcewen Rd, 200, Farmers Branch, TX 75244-5030 | 2016-06-16 |
1992168660 | Katrina Davis | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-03-31 |
1306936893 | Katrina Davis | Obstetrics & Gynecology | 2439 Bee Ridge Rd, Sarasota, FL 34239-6304 | 2006-10-13 |
Street Address |
891 23RD ST NE |
City | SALEM |
State | OR |
Zip Code | 97301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043252612 | Kimberly Ann Heggen | Pediatrics | 891 23rd St Ne, Salem, OR 97301-1793 | 2006-06-11 |
1760993208 | Carrie Geibel | Social Worker | 891 23rd St Ne, Salem, OR 97301-1793 | 2017-10-23 |
1982077251 | Courtney Joy Kennison | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301-1793 | 2015-11-08 |
1851703433 | Roxanne Marie Rich | Pediatrics | 891 23rd St Ne, Salem, OR 97301-1793 | 2014-05-29 |
1801214622 | Karen Heisler | Pediatrics | 891 23rd St Ne, Salem, OR 97301-1793 | 2014-03-29 |
1407270143 | Jacob Mark Lowen | Psychologist | 891 23rd St Ne, Salem, OR 97301-1793 | 2014-02-18 |
1235472861 | Brian Mills | Physician Assistant | 891 23rd St Ne, Salem, OR 97301-1793 | 2013-04-02 |
1780927665 | Lauren Elizabeth Terry | Pediatrics | 891 23rd St Ne, Salem, OR 97301-1793 | 2013-03-29 |
1588921837 | University Professional Services | General Practice | 891 23rd St Ne, Salem, OR 97301-1793 | 2012-04-11 |
1568735611 | Thomas James Weber Scarey | Physician Assistant | 891 23rd St Ne, Salem, OR 97301-1793 | 2012-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
Find all providers in zip 97301 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
1114930583 | Ingrid Scott | Nurse Practitioner | 11 Forrester St, Salem, MA 01970-4001 | 2006-08-15 |
1376539783 | Joseph Lee Easley | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2005-09-21 |
1225490816 | Melissa J Kohnen | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2016-03-23 |
1982077251 | Courtney Joy Kennison | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301-1793 | 2015-11-08 |
1093123382 | Elizabeth Cullinan | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2014-07-30 |
1790196244 | Lori Landreth | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2014-05-17 |
1649554049 | Jessica Lyn Joaquin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-10-04 |
1952682676 | Katharine Chamberlin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-09-08 |
1619206356 | Samantha Gunawardene | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2009-12-09 |
Find all providers in SALEM |
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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.