BETHANY DAVIS (NPI# 1205459310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205459310 |
Entity Type | Individual |
Full Name | BETHANY DAVIS |
Credential | PMHNP |
Practice Address |
911 N Buffalo Dr Unit 206 Las Vegas NV 89128-0381 |
Mailing Address |
394 Trailing Putt Way Las Vegas NV 89148-5003 |
Practice Telephone | 9094181803 |
Mailing Telephone | 9094181803 |
Enumeration Date | 2020-05-22 |
Last Update Date | 2020-09-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN99181 | NV | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
831439 | NV | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336570399 | Bethany Davis | Registered Nurse | 71 Pluss Ln, North Clarendon, VT 05759-9629 | 2013-12-02 |
1801088182 | Bethany Leighann Davis | Speech-Language Pathologist | 810 E 6th Ave, Ellensburg, WA 98926-3212 | 2007-08-10 |
1861005027 | Bethany Faith Davis | Physical Therapist | 3114 Fox Rd, Jonesboro, AR 72404-9322 | 2020-08-27 |
1972127900 | Bethany Corinne Davis | Audiologist | 1010 Old Des Peres Rd, Des Peres, MO 63131-1865 | 2020-06-05 |
1922634906 | Bethany Lynn Davis | Social Worker | 101 Elliott Ave W Ste 500, Seattle, WA 98119-4292 | 2020-03-21 |
1588143176 | Bethany Davis | Physical Therapist | 9520 Fredonia Stockton Rd, Fredonia, NY 14063-9518 | 2018-08-14 |
1881173128 | Bethany Davis | Counselor | 1905 J N Pease Pl Ste 101, Charlotte, NC 28262-4516 | 2018-08-08 |
1164921391 | Bethany Anne Davis | Counselor | 4585 Sw 185th Ave, Aloha, OR 97078-1557 | 2018-02-02 |
1679080329 | Bethany Ann Davis | Occupational Therapy Assistant | 4645 Village Square Dr Ste A, Paducah, KY 42001-7448 | 2018-01-03 |
1528504818 | Bethany Davis | Nurse Practitioner | 12871 Citrus Plaza Dr, Tampa, FL 33625-3010 | 2017-01-11 |
Street Address |
911 N BUFFALO DR UNIT 206 |
City | LAS VEGAS |
State | NV |
Zip Code | 89128-0381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821537242 | Nicole R Vaughn Changing Minds | Clinic/Center | 911 N Buffalo Dr Unit 206, Las Vegas, NV 89128-0381 | 2017-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
Find all providers in zip 89128 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801404074 | Ibukun Odutola | Nurse Practitioner | 2605 E Flamingo Rd, Las Vegas, NV 89121-5241 | 2020-07-14 |
1225652191 | Angela Beth Wilson | Nurse Practitioner | 5440 W Sahara Ave Ste 220, Las Vegas, NV 89146-0355 | 2020-06-05 |
1104445394 | Universal Psychiatry LLC | Nurse Practitioner | 270 E Flamingo Rd Unit 122, Las Vegas, NV 89169-0325 | 2020-04-09 |
1952931271 | Paramount Healthcare Services Corp | Nurse Practitioner | 10141 Rockridge Peak Ave, Las Vegas, NV 89166-5200 | 2020-01-26 |
1730642182 | Aban Medical Services | Nurse Practitioner | 10145 Eagle Haven St, Las Vegas, NV 89141-8781 | 2019-04-11 |
1750857728 | Jan Michael Arceo | Nurse Practitioner | 3140 S Rainbow Blvd Ste 401, Las Vegas, NV 89146-6234 | 2018-10-17 |
1780110247 | Jon A Failla Aprn Pllc | Nurse Practitioner | 182 Apache Tear Ct, Las Vegas, NV 89123-2996 | 2017-05-03 |
1023565074 | Bright Star Nurse Care LLC | Nurse Practitioner | 8337 Fox Brook St, Las Vegas, NV 89139-6755 | 2016-09-07 |
1467805119 | Kasey James Dean | Nurse Practitioner | 3321 N Buffalo Dr, Suite 200, Las Vegas, NV 89129-6678 | 2016-07-18 |
1558757021 | Martin Binyange | Nurse Practitioner | 320 E Warm Springs Rd Unit 1, Las Vegas, NV 89119-4243 | 2015-04-12 |
Find all providers in LAS VEGAS |
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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.