JACQUELINE GRAINGER DAVIDSON (NPI# 1093299661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093299661 |
| Entity Type | Individual |
| Full Name | JACQUELINE GRAINGER DAVIDSON |
| Practice Address |
2540 Westward Dr Lafayette CO 80026-9176 |
| Practice Telephone | 7208417379 |
| Mailing Telephone | 7208417379 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1174982508 | Jacqueline Sarah Davidson | Physical Therapist | 833 Michigan Ave., 3rd Floor, Buffalo, NY 14203 | 2016-02-13 |
| 1043368640 | Jacqueline Y Davidson | Technician, Other | 2841 Camelot Blvd, Chesapeake, VA 23323-3557 | 2007-01-08 |
| Street Address |
2540 WESTWARD DR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-9176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1326669334 | Rachel Fulmer Trepagnier | Physician Assistant | 111 La Rue Vil, Lafayette, LA 70508-6829 | 2020-04-30 |
| 1003394891 | Stefanie Marie Hummel | Physician Assistant | 105 Patriot St Ste 101, Lafayette, LA 70508-6831 | 2018-08-02 |
| 1477067239 | Madison Elizabeth Amos | Physician Assistant | 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 | 2017-11-30 |
| 1639682164 | Callie Phillips | Physician Assistant | 3441 Golden Gate Way Apt D, Lafayette, CA 94549-4533 | 2017-11-06 |
| 1629591383 | Matthew Jacob Stephen | Physician Assistant | 12 Shreve Ln, Lafayette, CA 94549-4066 | 2017-07-24 |
| 1881114486 | Ani Akopyan | Physician Assistant | 3535 Brook St Apt 22, Lafayette, CA 94549-4336 | 2017-06-23 |
| 1851829360 | Daniel Manilla | Physician Assistant | 380 Empire Rd Ste 200, Lafayette, CO 80026-2677 | 2017-05-28 |
| 1962942839 | Marcus Ryan Davidson | Physician Assistant | 605 Silverstone Rd Ste 100, Lafayette, LA 70508 | 2017-02-27 |
| 1497203178 | Lauren Lilly | Physician Assistant | 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 | 2016-09-12 |
| Find all providers in LAFAYETTE | ||||
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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.