MICHAEL SHANE DAVIS SR.


Address: 10051 5th St N Ste 200, St Petersburg, FL 33702-2211
Phone: 7278240787

MICHAEL SHANE DAVIS SR. (NPI# 1235172917) 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) 1235172917
Entity Type Individual
Full Name MICHAEL SHANE DAVIS SR.
Credential APRN
Practice Address 10051 5th St N Ste 200
St Petersburg
FL 33702-2211
Practice Telephone 7278240787
Practice Fax Number 8135148891
Mailing Telephone 7278240780
Enumeration Date 2006-06-13
Last Update Date 2020-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP2243822 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 001486300 05

Other Providers MICHAEL DAVIS

NPI Name Taxonomy Address Enumeration
1326676842 Michael Davis Student in an Organized Health Care Education/Training Program 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 2020-03-30
1962064691 Michael Vernon Davis I Driver 502 W Park Plz, Mattoon, IL 61938-3639 2019-07-02
1518451988 Michael Scott Davis Dentist 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 2018-06-19
1629582002 Michael Davis Physical Therapist 2093 Irene Ln, Idaho Falls, ID 83404-7167 2017-11-21
1912416637 Michael Christopher Davis Registered Nurse 18945 East Redden Road, Georgetown, DE 19947 2017-09-26
1760938534 Michael Anthony Davis I Counselor 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 2016-08-31
1619423894 Michael Davis Specialist/Technologist 129 Greenvale Dr, Lexington, SC 29072-7360 2016-08-29
1376901645 Michael Davis Jr. Massage Therapist 3245 Harness Dr, Florissant, MO 63033-3715 2016-02-02
1306186978 Michael James Davis Counselor 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 2013-02-19
1689928061 Michael Arthur Davis Surgery 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 2012-11-06

Office Location

Street Address 10051 5TH ST N STE 200
City ST PETERSBURG
State FL
Zip Code 33702-2211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518960905 Debra P. Figueroa Family Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2005-05-31
1275186256 Haylie Rae Frascatore Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2019-07-19
1134602766 Marigene G Hartker Internal Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2018-09-10
1659884294 Optumcare Florida, LLC Hospitalist 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-11-06
1922534684 Christelle T Nguyen Family Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-05-02
1457884249 Geeta Mehan Family Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-04-07
1215477161 Anika Toor Internal Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-02-26
1376900100 Katherine Elizabeth-mae Haynes Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2016-01-25
1427422872 Denise Tatem Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2015-11-23
1629498191 Daphne L Gardner Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2014-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419637 Lea Diana Stemplewski Occupational Therapist 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 2020-02-19
1366919557 Svetlana Nagle Nurse Practitioner 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 2018-10-25
1457835613 Joseph Kirchmer Physical Therapy Assistant 7101 9th St N, St Petersburg, FL 33702 2018-09-23
1386135176 Valencia Gibson Behavior Technician 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 2018-05-29
1740778760 Nicole S Kapr Behavior Technician 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 2018-04-25
1003316050 Sonya Lesnefsky Behavior Technician 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 2018-02-16
1003315086 Erin Nicole Rogers Behavior Technician 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 2018-02-06
1881192482 Carrie Langbo Genetic Counselor, MS Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 2018-01-29
1891203485 Healthy Lifestyles Tampa Bay LLC Psychologist 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 2018-01-17
1649787235 Gurdeep Singh Behavior Technician 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 2018-01-04
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255815460 Kathryn Marcino Nurse Practitioner 10901 Brighton Bay Blvd Ne Apt 3113, St Petersburg, FL 33716-3450 2018-09-24
1962992024 Lauren Elizabeth Oloughlin Nurse Practitioner 1001 37th St N Ste C, St Petersburg, FL 33713 2018-05-15
1487151155 Marathon Health LLC Nurse Practitioner 880 Carillon Pkwy, St Petersburg, FL 33716-1102 2018-04-10
1619417169 Elethia Faith Garvey-morris Nurse Practitioner 901 58th Ave S, St Petersburg, FL 33705-5033 2017-03-02
1346607116 Inna Anderson Nurse Practitioner 6294 Bahia Del Mar Cir Apt 401, Unit 401, St Petersburg, FL 33715-1086 2016-01-25
1962754531 Edward F Mccullough Nurse Practitioner 2852 66th St N, St Petersburg, FL 33710-3127 2012-10-08
1932451507 Psychiatric Behavioral Services, Inc Nurse Practitioner 6161 Dr Martin L King St N, Ste 102, St Petersburg, FL 33703-1104 2012-10-08
1427321454 Mary M. O'brien Nurse Practitioner 2525 Pasadena Avenue S, Suite 5, St Petersburg, FL 33707-4559 2012-02-22
1295942365 Carolyn Marie Clarke Nurse Practitioner 4131 Central Ave, St Petersburg, FL 33713-8229 2007-05-17
1164582615 Linda Diane Renshaw Nurse Practitioner 3050 1st Ave S, St Petersburg, FL 33712-1010 2006-12-12
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Competitor

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City ST PETERSBURG
Zip Code 33702

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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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