SHANE DAVIS (NPI# 1164071379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164071379 |
Entity Type | Individual |
Full Name | SHANE DAVIS |
Practice Address |
4532 Plank Rd Fredericksburg VA 22407-0139 |
Practice Telephone | 8042300999 |
Mailing Telephone | 3017899458 |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0701008416 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275958696 | Shane Davis | Psychologist | 1492 Liberty Pkwy Nw, Atlanta, GA 30318-9381 | 2014-02-21 |
1689822686 | Shane K Davis | Psychologist | 4515 26th St W, Bradenton, FL 34207-7200 | 2008-09-03 |
1033170725 | Shane Davis | Physical Therapist | 13040 State Route 12, Boonville, NY 13309-4942 | 2006-03-31 |
1013478759 | Shane Randal Davis | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-03-26 |
1134655673 | Shane Robert Davis | Emergency Medicine | 1602 Skipwith Rd, Richmond, VA 23229-5205 | 2017-05-03 |
1295269736 | Shane Michael Davis | Student in an Organized Health Care Education/Training Program | 101 The City Dr S Bldg 53, Orange, CA 92868-3201 | 2017-04-11 |
Street Address |
4532 PLANK RD |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22407-0139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295715969 | William B Johnson | Pediatrics | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2006-01-19 |
1447877204 | Diera Parhamcarruthers | Counselor | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2020-06-28 |
1740810373 | Childrens Clinic of Fredericksburg Urgent Care PC | Clinic/Center | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2020-01-23 |
1326699307 | Ashley Mangus | Nurse Practitioner | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2019-09-22 |
1083131155 | The Children's Clinic of Fredericksburg, PC | Pediatrics | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2017-08-29 |
1821018219 | Lisa Anne Grooms | Physician Assistant | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
Find all providers in zip 22407 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392445 | Jashanda Poe | Counselor | 238 Riverside Manor Blvd, Fredericksburg, VA 22401-4937 | 2020-10-07 |
1124653647 | Monday Courage LLC | Counselor | 180 Chatham Heights Rd Ste 203, Fredericksburg, VA 22405-2569 | 2020-03-04 |
1649803594 | Malcolm Ian Bernard | Counselor | 180 Chatham Heights Rd, Fredericksburg, VA 22405-2569 | 2020-02-19 |
1538727003 | April Mae Cook | Counselor | 4820 Southpoint Dr Ste 105, Fredericksburg, VA 22407-2605 | 2019-05-30 |
1831754928 | Rebecca Clay Howson-jacobs | Counselor | 1801 William St, Fredericksburg, VA 22401-5236 | 2019-05-05 |
1962962076 | Mary Wazeter Mannhardt I | Counselor | 1141 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2019-03-23 |
1760949127 | Starting Point of Virginia, P.C. | Counselor | 4024 Plank Rd, Fredericksburg, VA 22407-4800 | 2019-02-21 |
1558835686 | Pamela Brown | Counselor | 1320 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4953 | 2019-01-11 |
1962987693 | Amber Carpenter | Counselor | 1102 Hoke Ln, Fredericksburg, VA 22401-2641 | 2018-09-27 |
1053897868 | Joanne Thomas | Counselor | 150 Olde Greenwich Dr Ste 204, Fredericksburg, VA 22408-4002 | 2018-07-15 |
Find all providers in FREDERICKSBURG |
City | FREDERICKSBURG |
Zip Code | 22407 |
Please comment or provide details below to improve the information on SHANE 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.