MRS. LINDA SUE DAVIS (NPI# 1104001866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104001866 |
| Entity Type | Individual |
| Full Name | MRS. LINDA SUE DAVIS |
| Credential | CNP |
| Practice Address |
4420 Irving Blvd Nw Albuquerque NM 87114-5915 |
| Practice Telephone | 5057276300 |
| Practice Fax Number | 5057279588 |
| Mailing Telephone | 5057276300 |
| Mailing Fax Number | 5057279588 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2017-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP00224 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R17140 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 95432752 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6100 Pan American East Fwy Ne, Suite 100, Albuquerque, NM 871093427 | 5057276200 | 5057279590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113207 | Linda C Davis | Optometrist | 4840 E Bonanza Rd Ste 6, Las Vegas, NV 89110-3453 | 2019-06-14 |
| 1659882942 | Linda K Davis | Registered Nurse | 2323 N Lake Dr Rm W2039, Milwaukee, WI 53211-4508 | 2017-10-13 |
| 1932565066 | Linda Davis | Non-emergency Medical Transport (VAN) | 2501 Park Place Dr, Gretna, LA 70056-3025 | 2016-01-05 |
| 1154762391 | Linda Jane Davis | Counselor | 1107 Brewton Lovett Rd, Dublin, GA 31027-3299 | 2013-07-16 |
| 1255775870 | Linda Kay Davis | Nurse Practitioner | Fot 130 1720 2nd Ave S, Birmingham, AL 35294-3410 | 2013-04-25 |
| 1336411834 | Linda Duane Davis | Counselor | 815 Berwick Ct, Lake Oswego, OR 97034-2843 | 2012-01-31 |
| 1508153917 | Linda J. Davis | Case Manager/Care Coordinator | 11 Lucas Ln, Fort Worth, TX 76134-3408 | 2011-07-06 |
| 1164747358 | Linda K. Davis | Developmental Therapist | 140 Franklin Pl E, Apt206, Lake Forest, IL 60045-1273 | 2010-03-31 |
| 1356577431 | Linda Sue Davis | Clinical Nurse Specialist | 330 Pico Dr, Pulaski, VA 24301-4727 | 2009-06-03 |
| 1376778571 | Linda L Davis | Social Worker | 159 N Coit St, Florence, SC 29501-3435 | 2009-05-18 |
| Street Address |
4420 IRVING BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285616623 | Barbara Jean Bath | Family Medicine | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2005-11-18 |
| 1821460734 | Elizabeth Brosnahan Ferris | Physician Assistant | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2015-10-30 |
| 1275822546 | Southwest Medical Associates Inc. | Pediatrics | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2011-04-07 |
| 1740587278 | Elaine Marie Oglesbay | Nurse Practitioner | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2011-02-18 |
| 1003943416 | John A Bond | Family Medicine | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2007-02-27 |
| 1972642973 | Karam Bhalla | Internal Medicine | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2007-02-06 |
| 1205919867 | Walter Felipe Zanghellini | Pediatrics | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2006-10-24 |
| 1568542801 | Carl Tapia | Pediatrics | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2006-10-17 |
| 1508963992 | Amy Schmidt | Legal Medicine | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2006-09-20 |
| 1407876907 | Mark R Walker | Internal Medicine | 4420 Irving Blvd Nw, Albuquerque, NM 87114-5915 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| 1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
| 1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
| 1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
| 1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on MRS. LINDA SUE DAVIS.
| 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.