SHANNON WALLER DAVIS


Address: 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858
Phone: 3149777455

SHANNON WALLER DAVIS (NPI# 1063884799) 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) 1063884799
Entity Type Individual
Full Name SHANNON WALLER DAVIS
Credential CNM
Practice Address 1031 Bellevue Ave Ste 400
Saint Louis
MO 63117-1858
Mailing Address 1407 Mcpherson Ave
Mount Vernon
IL 62864-2822
Practice Telephone 3149777455
Mailing Telephone 6189975266
Mailing Fax Number 6189975285
Enumeration Date 2015-10-21
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1031 BELLEVUE AVE STE 400
City SAINT LOUIS
State MO
Zip Code 63117-1858

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518963859 Amy Jo Ravin Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2005-06-22
1386079481 Melissa Schwartz Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2013-09-08
1952645087 Carolyn Leigh Mank Registered Nurse 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2012-11-15
1164786166 Kia S Lannaman Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2012-06-25
1316238041 Amy Christine Bilyeu Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2011-04-28
1003136151 Shannon Michelle Grabosch Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2010-06-10
1225291636 Jennifer Goldkamp Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2008-07-07
1558562355 Pericles Xynos Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2007-05-30
1932134053 Jill K Powell Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2006-07-11
1073540951 John Theodore Hoff Obstetrics & Gynecology 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 2006-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
Find all providers in zip 63117

Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396381562 Tara Christine Jones Advanced Practice Midwife 3708 Meramec St, Saint Louis, MO 63116-4414 2019-11-22
1861742454 Lauren Michelle Ulrich Advanced Practice Midwife 11152 De Malle Dr, Saint Louis, MO 63146-5304 2012-09-11
1376816157 Kathleen Eastwood Advanced Practice Midwife 615 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141-8221 2012-02-09
1740317510 Tamara K Young Advanced Practice Midwife 615 S New Ballas Rd Ste 1400, Saint Louis, MO 63141-8221 2007-02-27
1376626259 Cynthia S. Bechtel Advanced Practice Midwife 1715 Deer Tracks Trl Ste 110, Saint Louis, MO 63131-1854 2006-10-23
1790392991 Jessica E. Steffens Advanced Practice Midwife 3015 N Ballas Rd, Saint Louis, MO 63131-2329 2020-09-30
1811535198 Claire Ann Minnick Advanced Practice Midwife 615 S New Ballas Rd Ste 1400, Saint Louis, MO 63141-8221 2019-12-17
1831691401 Michelle Elizabeth Gragg Advanced Practice Midwife 615 S New Ballas Rd Ste 1400, Saint Louis, MO 63141-8221 2018-02-28
1366997215 Erin Nicole Everett Advanced Practice Midwife 615 S New Ballas Rd Ste 1400, Saint Louis, MO 63141-8221 2016-08-22
1427403864 Maria Roeber Advanced Practice Midwife 615 S New Ballas Rd, Suite 1400, Saint Louis, MO 63141-8221 2016-05-03
Find all providers in SAINT LOUIS

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City SAINT LOUIS
Zip Code 63117

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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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