KRISTEN DAVIS (NPI# 1134508682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134508682 |
| Entity Type | Individual |
| Full Name | KRISTEN DAVIS |
| Credential | MS, RD, CDN |
| Practice Address |
5413 W Genesee St Camillus NY 13031-2100 |
| Mailing Address |
725 Irving Ave Suite 112 Syracuse NY 13210-1632 |
| Practice Telephone | 3157279251 |
| Practice Fax Number | 3152932791 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 008367 | NY | Dietary & Nutritional Service Providers |
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
008367-1 | NY | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Irving Ave, Suite 112, Syracuse, NY 132101632 | 3154642806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477175156 | Kristen Davis | Registered Nurse | 6076 Millerstown Rd, Clarkson, KY 42726-8133 | 2020-05-15 |
| 1851809909 | Kristen Nicole Davis | Nurse Practitioner | 409 Gaslight Blvd Ste 4, Lufkin, TX 75904-3158 | 2018-01-10 |
| 1487166633 | Kristen Tilton Davis | Speech-Language Pathologist | 1305 Walden Cir, Hewitt, TX 76643-3933 | 2017-10-27 |
| 1114440872 | Kristen Margaret Davis | Lactation Consultant, Non-RN | 39351 Oak Cliff Dr, Temecula, CA 92591-4562 | 2017-07-24 |
| 1063943421 | Kristen Nicole Davis | Nurse Practitioner | 5755 Almeda Rd Unit 309, Houston, TX 77004-8110 | 2017-03-27 |
| 1164792552 | Kristen Davis | Occupational Therapist | 321 Old Place Ln, Madisonville, LA 70447-3118 | 2012-01-03 |
| 1609076900 | Kristen Canby Davis | Social Worker | 521 Jack Stephens Dr, Little Rock, AR 72205-5524 | 2007-07-24 |
| 1578643250 | Kristen B Davis | Physician Assistant | 21446 Entrada Rd, Topanga, CA 90290-3539 | 2006-10-16 |
| 1902371974 | Kristen B Davis | Nurse Practitioner | 2416 Capstone Ct, Columbus, GA 31909-2795 | 2018-10-05 |
| 1518459775 | Kristen Marie Davis | Optometrist | 1618 Lee Victory Pkwy, Smyrna, TN 37167-6529 | 2018-06-04 |
| Street Address |
5413 W GENESEE ST |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308276 | Jennifer Nicole Arnette | Dietitian, Registered | 1207 Delaware Ave Ste 114, Buffalo, NY 14209-1458 | 2020-08-26 |
| 1487200358 | Jackie Carlson, Rd, Ldn, Cde Diabetes Consultant, LLC | Dietitian, Registered | 4867 College St, Ashville, NY 14710-9603 | 2019-08-15 |
| 1093219586 | Nutrition Link Services, LLC | Dietitian, Registered | 50 Jeanne Dr, Newburgh, NY 12550-1701 | 2018-03-20 |
| 1275037749 | Jo Ann Brown | Dietitian, Registered | 2233 Caton Ave Apt 6a, Brooklyn, NY 11226-2588 | 2018-03-20 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1770994741 | Juliana Martinez | Dietitian, Registered | 430 West 34th St, Apt. 3k, New York, NY 10001-2310 | 2014-05-13 |
| 1912338120 | Kelly Elaine Gumpel | Dietitian, Registered | 60 Paulding Ave, Tarrytown, NY 10591-5713 | 2013-12-13 |
| 1467898528 | Ilona Ginevic | Dietitian, Registered | One Gustave L. Levy Place, Box 1497, New York, NY 10029 | 2013-05-16 |
| 1114286887 | Ilene Frischer | Dietitian, Registered | 560 Northern Blvd Suite207, Great Neck, NY 11021 | 2012-05-15 |
| 1033492582 | His Rhema Nutrition Services, LLC | Dietitian, Registered | 9050 Parsons Blvd Ste 304, Jamaica, NY 11432-6052 | 2011-09-21 |
| 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.