CRYSTAL RENEE DAVIS (NPI# 1184802712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184802712 |
| Entity Type | Individual |
| Full Name | CRYSTAL RENEE DAVIS |
| Other Name | CRYSTAL RENEE KNOTT |
| Credential | PA-C |
| Practice Address |
4963 W. 135th St Leawood KS 66224 |
| Mailing Address |
2840 Sw Urish Road Topeka KS 66614 |
| Practice Telephone | 9138148222 |
| Practice Fax Number | 9138975574 |
| Mailing Telephone | 7852734443 |
| Mailing Fax Number | 7852289892 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2016-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-00916 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963708 | Crystal Leigh Davis | Counselor | 43 Leopard Rd Ste 203, Paoli, PA 19301-1552 | 2018-05-24 |
| 1144731365 | Crystal Dawn Davis | Pharmacist | 3501 36th Ave Nw, Norman, OK 73072-2429 | 2017-10-15 |
| 1801268313 | Crystal Davis | Counselor | 2210 Line Ave Ste 207, Shreveport, LA 71104-2134 | 2015-10-22 |
| 1558750349 | Crystal Davis | Occupational Therapy Assistant | 6932 County Road 1215, Flint, TX 75762-9176 | 2015-01-15 |
| 1154738573 | Crystal Davis | Registered Nurse | 20129 Tracey St, Detroit, MI 48235-1570 | 2014-07-17 |
| 1427300516 | Crystal Mary Davis | Counselor | 15 Adna Rd, Bristol, CT 06010-2719 | 2012-10-12 |
| 1417002064 | Crystal L Davis | Massage Therapist | 139 1st Ave. Sw, Castle Rock, WA 98611 | 2007-01-24 |
| 1518501741 | Crystal Davis | Behavior Technician | 6200 Virginia Pkwy, Mckinney, TX 75071-5504 | 2019-10-31 |
| 1033681523 | Crystal Nichole Davis | Dental Assistant | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-12-20 |
| 1801379631 | Crystal Davis | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-09-07 |
| Street Address |
4963 W. 135TH ST |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1962919324 | Nicole Marie Schroeder | Behavioral Analyst | 5420 W 151rst St., Leawood, KS 66224 | 2018-01-08 |
| 1780101097 | Lisa R. Holland | Speech-Language Pathologist | 5206 W 157th Pl, Overland Park, KS 66224 | 2017-08-28 |
| 1609322338 | Iron Horse Healthcare, Inc. | Home Health | 5401 W. 143rd Street, Leawood, KS 66224 | 2016-09-01 |
| 1184962375 | James Cochran | Counselor | 13720 Roe Ave, Leawood, KS 66224 | 2013-01-22 |
| 1265733075 | Virginia Claire Allen | Physician Assistant | 4963 W. 135th St., Leawood, KS 66224 | 2010-11-10 |
| 1639278666 | Jeffrey W Colyer | Plastic Surgery | 4940b W. 137th St, Leawood, KS 66224 | 2006-09-22 |
| 1568479772 | Robert P Sherman Jr. | Dentist | 4831 W 136th Street, Suite 200, Leawood, KS 66224 | 2006-08-01 |
| 1831165372 | Jocelyn A Wolf | Family Medicine | 5405 151st Street, Leawood, KS 66224 | 2006-02-24 |
| 1801896386 | James Kevin Ruse | Dentist | 4839 W 135th St, Leawood, KS 66224 | 2005-07-27 |
| Find all providers in zip 66224 | ||||
| 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 |
|---|---|---|---|---|
| 1831758705 | David Silkman | Physician Assistant | 2345 W 98th St, Leawood, KS 66206-2331 | 2019-06-13 |
| 1902364912 | Cynthia P Surmaczewicz | Physician Assistant | 7011 W 121st St Ste 106, Leawood, KS 66209-2009 | 2019-03-08 |
| 1679951933 | Carly Dawn Dickens | Physician Assistant | 3651 College Blvd Ste 100b, Leawood, KS 66211-1910 | 2015-05-07 |
| 1265733075 | Virginia Claire Allen | Physician Assistant | 4963 W. 135th St., Leawood, KS 66224 | 2010-11-10 |
| 1578171385 | Hannah Lynn Angell | Physician Assistant | 3651 College Blvd Ste 100b, Leawood, KS 66211-1910 | 2020-07-17 |
| 1023635380 | Carly Cecil | Physician Assistant | 4901 College Blvd, Leawood, KS 66211-1602 | 2020-07-01 |
| 1215491121 | James Hunter Endres | Physician Assistant | 4901 College Blvd, Leawood, KS 66211-1602 | 2019-01-24 |
| 1154891299 | Rachel Hoins | Physician Assistant | 4901 College Blvd, Leawood, KS 66211-1602 | 2018-12-02 |
| 1902322019 | Jared Burns | Physician Assistant | 3651 College Blvd Ste 100a, Leawood, KS 66211-1910 | 2017-08-21 |
| 1619314085 | Karen W. Cason | Physician Assistant | 3651 College Blvd, Leawood, KS 66211-1910 | 2013-05-25 |
| Find all providers in LEAWOOD | ||||
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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.