DIANE MARIE DAVIS (NPI# 1154352961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154352961 |
| Entity Type | Individual |
| Full Name | DIANE MARIE DAVIS |
| Credential | PAC |
| Practice Address |
1313 Halley St Lyon Park Clinic Durham NC 27707-1227 |
| Mailing Address |
6519 Turkey Run W Mebane NC 27302-8652 |
| Practice Telephone | 9195364205 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 101982 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457146 | Diane Davis | Technician | 7420 Legacy Pointe, El Reno, OK 73036-9280 | 2019-09-27 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1013356807 | Diane Davis | Counselor | 2803 W 37th St, 1st Floor, Brooklyn, NY 11224-1562 | 2013-06-14 |
| 1528370186 | Diane M Davis | Registered Nurse | 11819 Se William Otty Rd, Happy Valley, OR 97086-8290 | 2010-07-11 |
| 1952441149 | Diane Davis | Speech-Language Pathologist | 8050 Old Cr 54, New Port Richey, FL 34653-6457 | 2007-02-07 |
| 1285706309 | Diane Watkins Davis | Otolaryngology | 5201 Frederick St, Savannah, GA 31405-4501 | 2006-11-14 |
| 1891886024 | Diane Privitor Davis | Nurse Practitioner | 1501 Stubbs Ave, Monroe, LA 71201-7120 | 2006-09-26 |
| 1114998184 | Diane Liberto Davis | Nurse Practitioner | Box 153, San Diego, CA 92136-5153 | 2006-01-30 |
| 1497301659 | Diane B Davis | Social Worker | 3 Blue Streak Blvd, Saratoga Springs, NY 12866-5967 | 2019-08-14 |
| 1205327996 | Diane C Davis | Registered Nurse | 115 Broadway, Dobbs Ferry, NY 10522-2835 | 2018-05-29 |
| Street Address |
1313 HALLEY ST LYON PARK CLINIC |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709198 | Lincoln Community Health Center, Incorporated | Clinic/Center | 1313 Halley St, Durham, NC 27707-1227 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1801402896 | Kristy Marie Stevlingson | Physician Assistant | 2211 Hillsborough Rd Apt 4081, Durham, NC 27705-4163 | 2020-09-16 |
| 1700490877 | Alice Curchin | Physician Assistant | 813 N Buchanan Blvd Apt 4, Durham, NC 27701-1563 | 2020-09-04 |
| 1366056434 | Katherine Monjaras | Physician Assistant | 2901 Bertland Ave Apt 1538, Durham, NC 27705-6829 | 2020-09-04 |
| 1659980233 | Belinda Kim Khou | Physician Assistant | 501 Willard St Apt 215, Durham, NC 27701-3285 | 2020-07-29 |
| 1568080943 | Katherine Jean Hauler | Physician Assistant | 3802 Meriwether Dr Apt L, Durham, NC 27704-2855 | 2020-07-11 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1225668536 | Ashley Lynn Biggs | Physician Assistant | 4302 Waterford Valley Dr Apt 1911, Durham, NC 27713-8353 | 2020-01-26 |
| 1710546007 | Lauren Deruyter | Physician Assistant | 40 Duke Medicine Cir # 3j, Durham, NC 27710-4000 | 2019-06-10 |
| 1295202505 | Nathaniel Quinley | Physician Assistant | Duke Clinic 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-10-25 |
| Find all providers in DURHAM | ||||
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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.