LISA JO DAVIS (NPI# 1093099863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093099863 |
| Entity Type | Individual |
| Full Name | LISA JO DAVIS |
| Credential | RN |
| Practice Address |
201 E North Ave Flora IL 62839-2030 |
| Mailing Address |
Po Box 155 Christopher IL 62822-0155 |
| Practice Telephone | 6186628386 |
| Practice Fax Number | 6186624338 |
| Mailing Telephone | 6187242436 |
| Mailing Fax Number | 6187242571 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 041367410 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444633 | Lisa Davis | Technician | 595 Trenum Dr, Keyser, WV 26726-7058 | 2020-10-09 |
| 1366054454 | Lisa M Davis | Home Health Aide | 1300 H St Ne Apt 306, Washington, DC 20002-6827 | 2020-08-19 |
| 1689291452 | Lisa Davis | Dietitian, Registered | 5155 Crystal Brook Dr, Morristown, TN 37814-1598 | 2020-06-28 |
| 1760025407 | Lisa Davis | Speech-Language Pathologist | 7121 Wren Ave Nw, North Canton, OH 44720-7054 | 2019-10-25 |
| 1326699869 | Lisa M Davis | Registered Nurse | 295 Sumpter St, Brooklyn, NY 11233-2712 | 2019-09-26 |
| 1194223727 | Lisa Duncan Davis | Dietitian, Registered | 217 Harr Town Rd, Blountville, TN 37617-3830 | 2018-01-29 |
| 1114464708 | Lisa Davis | Nurse Practitioner | 16812 Eldamere Ave, Cleveland, OH 44128-1516 | 2017-01-20 |
| 1639613573 | Lisa Davis | Day Training, Developmentally Disabled Services | 8937 1/2 S Western Ave, Los Angeles, CA 90047-3549 | 2016-12-12 |
| 1275087264 | Lisa Davis | Dental Hygienist | 5901 Stone Pine Rd, Wilmington, DE 19808-1015 | 2016-08-08 |
| 1376919753 | Lisa Davis | Licensed Practical Nurse | 30780 Barrington St, Madison Heights, MI 48071-1834 | 2015-08-19 |
| Street Address |
201 E NORTH AVE |
| City | FLORA |
| State | IL |
| Zip Code | 62839-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048105 | Christopher Greater Area Rural Health Planning Corp | Counselor | 201 E North Ave, Flora, IL 62839-2030 | 2006-01-19 |
| 1760038178 | Carmen Stanley | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2019-08-12 |
| 1760997399 | Jennifer Smith | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-12-05 |
| 1275042277 | Betty M Harrelson | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-09-22 |
| 1538610209 | Alyssa Goodman | Counselor | 201 E North Ave, Flora, IL 62839 | 2016-10-18 |
| 1902274699 | Mary Sachs | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2015-09-11 |
| 1316314933 | Marlissa Boyles | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2015-08-31 |
| 1275878860 | Karli Jo Eskew | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2012-12-07 |
| 1407171788 | Linda S Siemer | Nurse Practitioner | 201 E North Ave, Flora, IL 62839-2030 | 2010-03-30 |
| 1831411172 | Ella M Mix | Registered Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2010-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1760997399 | Jennifer Smith | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-12-05 |
| 1275042277 | Betty M Harrelson | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2017-09-22 |
| 1902274699 | Mary Sachs | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2015-09-11 |
| 1881825255 | Carrie Dawn Spitzner | Licensed Practical Nurse | 201 E North Ave, Flora, IL 62839-2030 | 2009-08-04 |
| 1497951818 | Ronna Lee Schoonover | Licensed Practical Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1518570233 | Titilayo Ayeni-sode | Licensed Practical Nurse | 23025 Amber Ln, Richton Park, IL 60471-1281 | 2020-08-24 |
| 1477164929 | Monique L Lee | Licensed Practical Nurse | 8528 S Exchange Ave # 2, Chicago, IL 60617-2541 | 2020-08-10 |
| 1619597291 | Robin Wilson | Licensed Practical Nurse | 842 S 18th Ave, Maywood, IL 60153-1706 | 2020-04-23 |
| 1790319630 | Krystle Ekhoff | Licensed Practical Nurse | 9108 S Troy Ave, Evergreen Park, IL 60805-1628 | 2020-03-01 |
| 1932732237 | Robina Renee Williams | Licensed Practical Nurse | 16313 Turner Ave, Markham, IL 60428-5446 | 2020-02-15 |
| 1417589649 | Lataunja Parese Weaver | Licensed Practical Nurse | 7436 S Ellis Ave, Chicago, IL 60619-2032 | 2020-02-05 |
| 1124667621 | Jacquelyn Cooper | Licensed Practical Nurse | 230 N Lind Ave, Hillside, IL 60162-1538 | 2019-12-31 |
| 1699312587 | Kristi Ann Pittman-spero | Licensed Practical Nurse | 101 N Jefferson Ave, Bradley, IL 60915-1829 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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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.