IDA DAVIS (NPI# 1114320165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114320165 |
| Entity Type | Individual |
| Full Name | IDA DAVIS |
| Practice Address |
570 West Cheyenne Avenue North Las Vegas NV 89030 |
| Mailing Address |
2626 Blue Reef Drive North Las Vegas NV 89023 |
| Practice Telephone | 7022052513 |
| Mailing Telephone | 7022052513 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
MI0553 | NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528108370 | Ida Davis | Technician | 1094 Toulon Rd, Wathena, KS 66090-4078 | 2007-02-08 |
| 1790038867 | Ida Jane Davis | Speech-Language Pathologist | 8826 Santa Fe Dr, Suite #303, Overland Park, KS 66212-3655 | 2012-10-26 |
| Street Address |
570 WEST CHEYENNE AVENUE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261071 | Cassandra L Cotton | Counselor | 522 Seneca Ridge Ave, North Las Vegas, NV 89084-1314 | 2020-06-29 |
| 1396253258 | Michelle Laray Jackson | Counselor | 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2018-01-12 |
| 1366978140 | Ebony Sherman | Counselor | 245 E Centennial Pkwy Apt 2128, North Las Vegas, NV 89084-1373 | 2017-05-11 |
| 1851765416 | Brandy Mccullouch | Counselor | 2525 Donna St Apt A, North Las Vegas, NV 89030-5571 | 2015-11-19 |
| 1992120349 | Marikay Mack-finnie | Counselor | 4709 White Stork Dr, North Las Vegas, NV 89084-2642 | 2014-02-21 |
| 1356681241 | Woodrow Anthony Roeback IIi | Counselor | 3428 Ernest St, North Las Vegas, NV 89032-7724 | 2013-03-01 |
| 1033497151 | Latonya Reashawn Gaston | Counselor | 1001 Country Grove Ave, North Las Vegas, NV 89030-4707 | 2011-07-22 |
| 1205164290 | Guy Calderon Cooper | Counselor | 8228 Chimney Bluffs St, North Las Vegas, NV 89085-4412 | 2009-12-02 |
| 1124145594 | Renee Arbogast | Counselor | 4438 Coastal Bluff Ave, North Las Vegas, NV 89031-0453 | 2007-03-23 |
| 1922539154 | Curtis O'neal Green | Counselor | 2007 Rain Storm Ct, North Las Vegas, NV 89032-4857 | 2017-03-21 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on IDA 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.