ELLEN DAVIS


Address: 130 Pablo St, Lakeland, FL 33803-3818
Phone: 8632845906

ELLEN DAVIS (NPI# 1194384362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194384362
Entity Type Individual
Full Name ELLEN DAVIS
Practice Address 130 Pablo St
Lakeland
FL 33803-3818
Mailing Address 1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland
FL 33805-4543
Practice Telephone 8632845906
Practice Fax Number 8632845149
Enumeration Date 2019-06-11
Last Update Date 2019-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9112245 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers ELLEN DAVIS

NPI Name Taxonomy Address Enumeration
1831645977 Ellen Davis Massage Therapist 3302 Fuhrman Ave E, Ste 110, Seattle, WA 98102-7115 2016-08-29
1043607021 Ellen Davis Specialist/Technologist 11319 Kings Valley Dr, Damascus, MD 20872-2259 2015-04-17
1376734368 Ellen Jean Davis Internal Medicine 2715 Sw Willetta, Suite B, Albany, OR 97321 2007-08-06
1053465179 Ellen C Davis Occupational Therapist 205 South St E, Talladega, AL 35160-2411 2007-01-23
1366439093 Ellen Satterwhite Davis Pediatrics 705 Summit Crossing Pl, Suite 150, Gastonia, NC 28054-2137 2005-09-27
1861987372 Ellen L Davis Counselor 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 2018-06-27
1346749686 Ellen Davis Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2018-02-01
1235526005 Ellen Geheber Davis Acupuncturist 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066-3979 2015-04-20
1598162828 Ellen S Davis Community Health Worker 325 Sw Frazier Ave, Topeka, KS 66606-1963 2014-12-02
1487063970 Ellen Latoya Davis Counselor 850 E Foothill Blvd, Rialto, CA 92376-5230 2014-08-08

Office Location

Street Address 130 PABLO ST
City LAKELAND
State FL
Zip Code 33803-3818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003810672 Andrea Beale Nurse Practitioner 130 Pablo St, Lakeland, FL 33803-3818 2005-06-10
1740804673 Brian Win Physician Assistant 130 Pablo St, Lakeland, FL 33803-3818 2020-06-06
1285284216 Sandra Baffoe-bonnie Nurse Practitioner 130 Pablo St, Lakeland, FL 33803-3818 2019-09-11
1215586458 Jillian Railey Nurse Practitioner 130 Pablo St, Lakeland, FL 33803-3818 2019-09-10
1558827592 Rebecca N Levine Physician Assistant 130 Pablo St, Lakeland, FL 33803-3818 2019-02-14
1124594007 Rany Najeh Ahmad Nurse Practitioner 130 Pablo St, Lakeland, FL 33803-3818 2018-10-18
1093224206 Moezza Butler Registered Nurse 130 Pablo St, Lakeland, FL 33803-3818 2017-09-20
1679092050 Jessica Polk Internal Medicine 130 Pablo St, Lakeland, FL 33803-3818 2017-09-16
1750803201 Mary L Roy Nurse Practitioner 130 Pablo St, Lakeland, FL 33803-3818 2017-07-15
1275053662 Taccara Willis Nurse Practitioner 130 Pablo St, Lakeland, FL 33803-3818 2017-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861964819 Steven P Agelidis Counselor 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 2018-12-31
1902316201 Kesara Mai Ngam Massage Therapist 117 West Oak Drive, Lakeland, FL 33803 2017-10-02
1396260618 Suncoast Behavioral Solutions, LLC Behavioral Analyst 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 2017-08-08
1316484413 Daniel Jacob Stahl Behavior Technician 145 East Edgewood Drive, Lakeland, FL 33803 2017-01-26
1780037002 Shelley Stettinius Behavioral Analyst 145 East Edgewood Dr, Lakeland, FL 33803 2016-07-21
1396106654 Highlands Occupational Therapy, Inc Occupational Therapist 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 2016-03-15
1003289570 Jayna Dinsmore Physical Therapy Assistant 321 Imperial Blvd, D38, Lakeland, FL 33803 2015-11-05
1093187429 Healthstat Wellness Polk-lakeland Preventive Medicine 3215 Winter Lake Road, Lakeland, FL 33803 2015-10-26
1962812545 Florida Presbyterian Homes, Inc Nursing Facility/Intermediate Care Facility 901 Lakeside Avenue, Lakeland, FL 33803 2014-05-05
1710316336 Trinity Endodontics Health Maintenance Organization 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 2013-11-04
Find all providers in zip 33803

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760758643 Sunshine Assistant LLC Physician Assistant 6308 Prominence Point Drive, Lakeland, FL 33813-4491 2012-03-26
1134779812 Mallory Bastian Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3065 2019-09-16
1992354948 Joseph Carmine Randazzo Jr. Physician Assistant 1324 Lakeland Hills Blvd, Attn: Managed Care Depot, Lakeland, FL 33805-4543 2019-09-11
1659740835 Laura Zambetti Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2015-09-17
1528480480 Jessica Lyons Physician Assistant 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 2014-01-13
1447502828 Weslyn A Leffler Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2012-10-09
1689940934 Kyle Merritt Physician Assistant 1818 Harden Blvd, Suite 120, Lakeland, FL 33803-1812 2012-03-30
1689945693 Seth D Gardner Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2012-01-23
1528357183 Megan E Fincham Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2011-04-05
1750538294 Janet Faith Mccabe Physician Assistant 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 2008-08-27
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33803

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Dataset Information

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.

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